The Journal of Arthroplasty
Volume 25, Issue 4 , Pages 552-557, June 2010

Cementless Total Hip Arthroplasty Performed in Patients With Pigmented Villonodular Synovitis

  • Jeong Joon Yoo, MD

      Affiliations

    • Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, South Korea
    • ,
  • Young Sam Kwon, MD

      Affiliations

    • Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, South Korea
    • ,
  • Kyung-Hoi Koo, MD

      Affiliations

    • Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, South Korea
    • ,
  • Kang Sup Yoon, MD

      Affiliations

    • Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, South Korea
    • ,
  • Byung Woo Min, MD

      Affiliations

    • Department of Orthopedic Surgery, Keimyung University Hospital, Daegu, South Korea
    • ,
  • Hee Joong Kim, MD

      Affiliations

    • Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, South Korea
    • Medical Research Center, Seoul National University, Seoul, South Korea
    • Corresponding Author InformationReprint requests: Hee Joong Kim, MD, Department of Orthopedic Surgery, Seoul National University Hospital, 28 Yeongeon-dong, Jongno-gu, 110-744, Seoul, South Korea.

Received 12 June 2008; accepted 14 February 2009. published online 08 April 2009.

Abstract 

The authors retrospectively reviewed all patients with pigmented villonodular synovitis (PVNS) of the hip treated by cementless total hip arthroplasty (THA) combined with synovectomy. Eight patients were reviewed and observed for an average of 8.9 years (range, 4.3-13.5 years). Mean preoperative Harris hip scores improved from 49.3 to 96.6 points, and all patients were able to regularly perform moderate daily living activities. None of the patients had clinical or radiographic evidence of recurrent PVNS. Osteolysis occurred in 4 hips, and 2 revision surgeries were performed during follow-up. Cementless THA combined with synovectomy is an adequate therapeutic choice for patients with PVNS demonstrating end-stage joint destruction and appears to be effective at improving clinical results and preventing disease recurrence.

Keywords: pigmented villonodular synovitis, total hip arthroplasty, cementless, recurrence, revision

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 No benefits or funds were received in support of the study.

 This work was supported by grants from the Seoul National University Hospital Research Fund (06-2007-101-9 and 06-03-063).

PII: S0883-5403(09)00065-5

doi:10.1016/j.arth.2009.02.015

The Journal of Arthroplasty
Volume 25, Issue 4 , Pages 552-557, June 2010

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