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Total knee replacement in patients with diffuse villonodular synovitis Paper developed at the network Mater Dei de Saúde, Belo Horizonte, MG, Brazil.

ABSTRACT

This paper reports a case of diffuse pigmented villonodular synovitis (DPVNS), associated with advanced gonarthrosis, submitted to total knee replacement. The patient had progressive pain and swelling. She had two previous surgeries, firstly arthroscopic , synovectomy and subsequently open synovectomy associated with radiotherapy, with recurrence of the disease. Magnetic resonance imaging revealed diffuse synovitis, advanced arthrosis, and bone cysts. The patient was submitted to a total knee replacement and synovectomy. There was a good postoperative clinical course, with improvement of pain, function, and joint edema on examination. The patient will be followed regarding the possibility of disease recurrence and implant survival.,

Keywords:
Villonodular pigmented synovitis; Arthroscopy; Knee; Giant cell tumors

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