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Outcomes of arthroscopic management for pigmented villonodular synovitis of the hip

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Early synovectomy is considered as the main treatment of pigmented villonodular synovitis (PVNS) of the hip in young patients with preserved cartilage. The purpose of the study is to evaluate outcomes of arthroscopic management for PVNS of the hip.

Methods

Patients who underwent primary hip arthroscopy for the treatment of histology-confirmed PVNS by the senior author between January 2012 and December 2016 were retrospectively reviewed. We excluded patients who had less than 1-year follow-up or had undergone primary surgeries with other surgeons and then received revision hip arthroscopic procedures by the senior author. The recurrence of PVNS and postoperative condition of affected hip were assessed by follow-up magnetic resonance imaging (MRI). Patient-reported outcomes of modified Harris hip score (mHHS) and 12-item International Hip Outcome Tool (iHOT-12) were collected at latest follow-up.

Results

Nine patients (2 males, 7 females) with a mean age of 24.3 ± 11.2 years (range 14–44 years) were included in this study. Localized PVNS was observed in four patients, and diffuse PVNS was observed in five patients. No patient presented with advanced osteochondral destruction. Five patients received single adjuvant radiosynoviorthesis. No patient had evidence of recurrence based on follow-up MRI. Patient-reported outcomes were obtained in eight patients at mean 55.8 ± 26.1 months (range 24–84 months) after the index surgery. The mean mHHS was 94.6 ± 4.9 (range 84.7–100) and the mean iHOT-12 was 93.3 ± 20.2 (range 50–120). No patient needed secondary surgery during the follow-up period.

Conclusion

Arthroscopic subtotal synovectomy can offer favorable short to mid-term outcomes in the treatment of hip PVNS in case of no advanced osteochondral damage at presentation.

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Acknowledgements

Staff in Orthopädische Chirurgie München for identifying the patients treated in the study period.

Funding

No funding was received to assist with the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Chang Gung Memorial Hospital, No.222, Maijin Rd., Anle Dist., Keelung City, 204, Taiwan

    Hao-Che Tang

  2. Orthopedic department, Tanta University, El-Gaish, Tanta Qism 2, Tanta, Gharbia Governorate, Egypt

    Mohammed Sadakah

  3. Orthopädische Chirurgie München, OCM Klinik GmbH, Steinerstraße 6, 81369, München, Germany

    Nils Wirries & Michael Dienst

Authors
  1. Hao-Che Tang
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  2. Mohammed Sadakah
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  3. Nils Wirries
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  4. Michael Dienst
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Correspondence to Michael Dienst.

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The authors have no conflicts of interest to declare that are relevant to the content of this article.

Ethical approval

Ethical approval was waived by the local Ethics Committee of Bayerischen Landesärztekammer in view of the retrospective nature of the study and all the procedures being performed were part of the routine care.

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Informed consent was obtained from all individual participants included in the study.

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Tang, HC., Sadakah, M., Wirries, N. et al. Outcomes of arthroscopic management for pigmented villonodular synovitis of the hip. Arch Orthop Trauma Surg 142, 2811–2818 (2022). https://doi.org/10.1007/s00402-021-04242-y

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  • DOI: https://doi.org/10.1007/s00402-021-04242-y

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