The causes of unsatisfactory results and mistakes in treatment of patients with pigmented villo-nodular synovitis (teno-synovial giant-cell tumor) of a knee joint

Keywords: pigmented villo-nodular synovitis; a knee joint; teno-synovial giant-cell tumor.

Abstract

Objective. To reveal the causes of unsatisfactory results and mistakes in treatment of patients with pigmented villo-nodular synovitis of a knee joint with the objective to improve this disease diagnosis, as well as the results of treatment and rehabilitation/

Materials and methods. Through the period 2010 - 2018 yrs we conducted a retrospective analysis of medical documents (the case histories) in 77 patients with pathohistologically verified diagnosis of pigmented villo-nodular synovitis of a knee joint, who were treated in the clinic of Institute of Traumatology and Orthopedics (ITO), Kyiv and operated on a knee joint.

Results. The causes of unsatisfacory results of treatment for pigmented villo-nodular synovitis of a knee joint are the disease severity, and its diffuse form, absence of the diagnosis-treatment algorithm for this process and rehabilitation of the patients, what leads to diagnostic and tactical mistakes on the treatment process stages.

Conclusion. The awaiting tactics in diagnosis and treatment of pigmented villo-nodular synovitis constitutes a wide-spread tactical mistake. Insufficient knowledge of traumatologists in a knee joint surgery leads to tactical faults as well. Most treatment mistakes occur as a consequence of unreadiness of orthopedist-traumatologist for possible intraoperative accidental revealing of pigmented villo-nodular synovitis of a knee joint, as well as because of absence of intraoperative tactics and material gears for treatment of this disease and its outcomes.

Author Biographies

Yu. O. Kostogryz, Institute of Traumatology and Orthopedics, Kyiv

Kostogryz Yuriy O., MD, Junior Researcher,
Department of Joint Diseases in Adults
Institute of Traumatology and Orthopedics, Kyiv, Ukraine
27 Bulvarno-Kudriavska Str., Kyiv, 01601, Ukraine;
+38(066)808-36-43;
Arzt@i.ua;
ORCID ID: 0000-0001-7187-298X

O. A. Kostogryz , Institute of Traumatology and Orthopedics, Kyiv

Kostogryz Oleh A., MD, DSci(Med),
State Institution «Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine»,
27 Bulvarno-Kudriavska Str., Kyiv, 01601, Ukraine;
+38(066)808-36-44;
arztkostogryz@ukr.net;
ORCID ID: 0000-0002-9533-9247

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Published
2020-05-26
How to Cite
Kostogryz, Y. O., & Kostogryz , O. A. (2020). The causes of unsatisfactory results and mistakes in treatment of patients with pigmented villo-nodular synovitis (teno-synovial giant-cell tumor) of a knee joint. Klinicheskaia Khirurgiia, 87(1-2), 60-66. https://doi.org/10.26779/2522-1396.2020.1-2.60
Section
General Problems of Surgery