Combined anterior and posterior arthroscopic portals for loose body removal and synovectomy for synovial chondromatosis

Foot & Ankle International
Ivan BojanićTomislav Smoljanović

Abstract

Synovial chondromatosis is a rare disorder characterized by formation of cartilaginous bodies within the synovia of joints, tendon sheaths, and bursae secondary to a synovial metaplastic process. Recent literature has described using only an anterior approach to the ankle for these patients. It is unclear how well, if at all, synovectomy of the posterior part of the ankle joint was performed. Most recurrences occur years after surgery, as a result of incomplete synovectomy. We treated five patients (mean age 31.6 years; range, 21 to 63; four male, one female) with synovial chondromatosis of the ankle. We performed arthroscopic loose body removal and total synovectomy using both posterior and anterior ankle arthroscopic portals. At latest followup of a mean of 34.2 (range, 13 to 58) months, the functional result was assessed with the AOFAS score. The AOFAS score improved from a mean of 67 (range, 58 to 77) points to a mean of 94 (range, 77 to 100) points. Overall patient satisfaction was good to excellent. We noted only one minor complication when a loose body was lost in the subcutaneous tissue, and was removed two weeks after the arthroscopy. Our experience in this small group of patients seems to indicate that a 2 portal appr...Continue Reading

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Citations

Nov 30, 2013·Anatomy Research International·Rachel M FrankSimon Lee
Apr 11, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Nasef Mohamed Nasef Abdelatif
Nov 15, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Ivan BojanićTomislav Smoljanović
Jan 9, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Pietro SpennacchioNiek C van Dijk
May 11, 2015·International Journal of Surgery Case Reports·Wei LiMing Lei
May 17, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Tun Hing Lui
Dec 3, 2014·International Journal of Surgery Case Reports·Ahmet OzmericSerap Gozel
Mar 19, 2015·Case Reports in Orthopedics·Paolo FornaciariUlrich G Exner
Dec 17, 2019·World Journal of Orthopedics·Luca MonestierMichele Francesco Surace
Nov 19, 2020·Foot & Ankle International·Ivan BojanićDamjan Dimnjaković

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