Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Synovial Chondromatosis of the Ankle Joint

족관절에 생긴 활액막성 연골종증

  • Suh, Jin-Soo (Departments of Orthopedic Surgery, Inje University, Ilsan Paik Hospital) ;
  • Kim, Ji-Hoon (Departments of Orthopedic Surgery, Inje University, Ilsan Paik Hospital) ;
  • Kim, Jong-In (Departments of Orthopedic Surgery, Inje University, Ilsan Paik Hospital) ;
  • Kim, Han-Seong (Departments of Pathology, Inje University, Ilsan Paik Hospital)
  • 서진수 (인제대학교 의과대학 일산백병원 정형외과교실) ;
  • 김지훈 (인제대학교 의과대학 일산백병원 정형외과교실) ;
  • 김종인 (인제대학교 의과대학 일산백병원 정형외과교실) ;
  • 김한성 (인제대학교 의과대학 일산백병원 병리학교실)
  • Published : 2009.06.15
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Abstract

Purpose: We evaluated the results of treatment and clinical symptoms of 11 cases of synovial chondromatosis in the ankle joint. Material and Method: From February 2001 to May 2008, 11 cases with synovial chondromatosis involving ankle joint underwent surgical treatment. There were 5 males and 6 females. The average age at surgery was 51 years. The average follow-up period was 42 months. Duration from onset of symptom to treatment was 117 months. Chief complaints of patients, 9 cases were pain and 1 case was mass like lesion, 1 case was found on x-ray. Preoperatively, all cases were evaluated on simple x-ray, 4 cases on CT, 4 cases on MRI and 1 case on ultrasonogram. 10 cases underwent synovectomy and loose body removal. 5 cases of 10 cases underwent open synovectomy and loose body removal and arthrosocpic surgery. 4 cases of 10 cases underwent only open synovectomy and loose body removal and 1 case of 10 cases underwent only arthroscopic surgery. 1 case underwent tibiotalar arthrodesis. Results: The location of loose bodies was 7 cases on posterior and 4 cases on anterior and 4 case on lateral and 3 cases on multiple site. Postoperatively, all patients showed marked clinical improvement and had subjective satisfaction except reoperation 2 cases and arthrodesis 1 case. AOFAS score of all patients was average 82.2. Conclusion: Clinical results of the synovial chondromatosis of ankle joint were satisfactory. More accurate preoperative evaluation is required to achieve prevention of postoperative recurrence and better outcome.

Keywords

References

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