Yusuf YILDIZ, Hamit ÖĞÜT, Selim EREKUL, Yener SAĞLIK, Murat ARIKAN, Murat ALTAY

Pigmente villonodüler sinovit tedavisinde klinik sonuçlarımız

Pigmente villonodüler sinovit; eklem, fasya, bursa ve tendon gibi yapıları çevreleyen sinovyal dokunun, benign, ileri derecede proliferasyon gösteren, nedeni hala tam aydınlatılamamış bir hastalığıdır. Genellikle tek eklem tutulumu görülür. En sık diz ekleminde rastlanılır. Lokal ya da yaygın olmak üzere iki tip altında incelenir. Tedavide total eksizyon uygulanır. Bu çalışmada; Mayıs 1988-Haziran 2000 tarihleri arasında, kliniğimizde yaygın pigmente vilonodüler sinovit tanısı ile ameliyat edilen 21 hastanın sonuçları retrospektif olarak değerlendirildi. İkisi ayak bileği ve biri kalça olmak üzere toplam üç hastada (%14,3) nüks ile karşılaşıldı.

Surgical treatment of pigmented villonodular synovitis

Pigmented villonodular synovitis is a disorder of unknown etiology involving synovial proliferation of the joints, fascia, bursae, and tendon sheets. It generally affects a single joint, most commonly the knee, and occurs in two forms, local and diffuse. Local excision is the standard treatment. This retrospective report presents the surgical results of 21 patients diagnosed and treated for pigmented villonodular synovitis between May 1988-June 2000. Among the 21 patients in our series, only three (14.3%) had recurrences - two in the ankle and one in the hip.

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