Evidence map›Paper›PMID 27866235›Full record

ArticleInternational orthopaedics2017

Arthroscopically-assisted mini open partial synovectomy for the treatment of localized pigmented villonodular synovitis of the knee. A retrospective comparative study with long-term follow up.

Dimitrios Georgiannos, Achilleas Boutsiadis, Filon Agathangelidis, Stergios Papastergiou, Dimitrios Karataglis, Ilias Bisbinas

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Management of Tenosynovial Giant Cell Tumor: A Neoplastic and Inflammatory Disease.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2020
    Pooled it
  2. Article
  3. Review
  4. Localized tenosynovial giant cell tumor in children.Journal of children's orthopaedics · 2023
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Dimitrios GeorgiannosDepartment of Orthopaedic and Trauma Surgery, 424 Military General Hospital, Peripheriaki Odos Efkarpias, Thessaloniki, Greece. EVI_DIM45@hotmail.com.
Achilleas BoutsiadisDepartment of Orthopaedic and Trauma Surgery, 424 Military General Hospital, Peripheriaki Odos Efkarpias, Thessaloniki, Greece.
Filon AgathangelidisDepartment of Orthopaedic and Trauma Surgery, Agios Pavlos General Hospital, Thessaloniki, Greece.
Stergios PapastergiouDepartment of Orthopaedic and Trauma Surgery, Agios Pavlos General Hospital, Thessaloniki, Greece.
Dimitrios KarataglisDepartment of Orthopaedics, General Clinic, Blue Cross, Euromedica Thessaloniki, Thessaloniki, Greece.
Ilias BisbinasDepartment of Orthopaedic and Trauma Surgery, 424 Military General Hospital, Peripheriaki Odos Efkarpias, Thessaloniki, Greece.
424 General Military Hospital · GRAgios Pavlos General Hospital · GREuromedica · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to present the long-term results of treatment of localized pigmented villonodular synovitis (LPVNS) comparing two operative procedures of excision of the lesion-the arthroscopic and the arthroscopically assisted mini-open. We hypothesized that the latter approach allowed for treatment of LPVNS with acceptable recurrence rates, complication rates and functional outcomes.

methodsBetween 1990 and 2006, 21 patients with LPVNS were treated with partial synovectomy through an arthroscopically-assisted mini open technique (group A), and 23 patients were treated with an arthroscopic excision of the lesion (group B). All patients were clinically examined at one, three, and 12 months post-operatively and graded by the Lysholm knee score and the Ogilvie-Harris score.

resultsThe mean Lysholm score was improved from 58.7 ± 9 to 94.2 ± 7 for group A (p < 0.05) and from 57.4 ± 9.1 to 95.5 ± 8 for group B (p < 0.05). The mean Ogilvie-Harris score was improved from 7.2 ± 2 to 11.2 ± 0.9 for group A and from 7.1 ± 2 to 11.75 ± 0.5 for group B (p < 0.05). We encountered two cases of CRPS and one case of recurrence of the lesion in group A and no complications for group B.

conclusionsArthroscopically-assisted mini open partial synovectomy is a safe alternative treatment, especially for surgeons without extended experience in arthroscopic techniques. The arthroscopic localization of the precise position of the lesion and its subsequent mini-open excision is a safe and effective technique with very low morbidity and recurrence rate and equivalent functional outcome to fully arthroscopic excision due to limited incision. LEVEL OF EVIDENCE: Retrospective comparative study, Level III.

Indexed as

ArthroscopySynovectomyAdolescentAdultFemaleFollow-Up StudiesHumansKnee JointMaleMiddle AgedRetrospective StudiesSynovitis, Pigmented VillonodularYoung AdultArthroscopic synovectomyKneeLocalized PVNSMini-open synovectomyRecurrenceSurgical treatment

Identifiers

PMID27866235
OpenAlexW2550719742

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.