Evidence map›Paper›PMID 40837112›Full record

ArticleArthroplasty today2025

Surgical Options for Primary Synovial Chondromatosis of the Knee: A Systematic Review.

Zhen Jonathan Liang, Yu Liu, Vachalam Rangasamie Danakkrisna, Zi Qiang Glen Liau

Abstract read
In one paragraph

Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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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

1 citing paper in PubMed.

  1. Review
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

4 authors.

Zhen Jonathan LiangDepartment of Orthopaedic Surgery, National University Hospital, Singapore.
Yu LiuDepartment of Orthopaedic Surgery, Alexandra Hospital, Singapore.
Vachalam Rangasamie DanakkrisnaDepartment of Orthopaedic Surgery, Alexandra Hospital, Singapore.
Zi Qiang Glen LiauDepartment of Orthopaedic Surgery, National University Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Synovial chondromatosis is a rare benign condition characterized by the formation of cartilaginous nodules within the synovium of joints, bursae, or tendon sheaths. While nonsurgical management exists, surgical intervention is often necessary. This systematic review aims to evaluate surgical options for managing synovial chondromatosis of the knee and compare recurrence rates following each procedure. Methods: Adhering to the Preferred Reporting Items of Systematic Review and Meta-Analysis guidelines, a literature search was conducted using PubMed, SCOPUS, and Embase, up to April 2025. Studies included detailed surgical interventions for primary synovial chondromatosis of the knee. Results: Thirty-seven studies met the inclusion criteria, comprising 30 case reports, 4 retrospective studies, and 3 case series, involving 120 patients (70 males, 49 females, 1 unspecified). Surgical techniques were categorized into open, arthroscopic, and combined approaches. Open approaches included arthrotomies without synovectomy, partial and total synovectomies, and total knee arthroplasty. Arthroscopic approaches involved washouts and synovectomies (partial and total). Combined approaches included staged surgeries with both open and arthroscopic techniques. Recurrence rates varied: open arthrotomy (0%; 1 and 20 year follow-up), arthroscopic synovectomy (5.71%; average follow-up duration 1.53 years), open synovectomy (12.5%; average follow-up 2.04 years), total knee arthroplasty (20.8% average follow-up 10.3 years), and arthroscopic washout (31.4%; average follow-up 6.56 years). Combined approaches reported no recurrences in 6 cases with average follow-up 1.44 years. Conclusions: This systematic review highlights variability in recurrence across techniques. Arthroscopic synovectomy and combined approaches demonstrated the lowest recurrence; however, the choice of surgical method should be tailored to the individual patient's condition and the surgeon's expertise.

Indexed as

ArthroscopyKneeSynovectomySynovial ChondromatosisTotal knee arthroplasty

Identifiers

PMID40837112
PMCPMC12361623

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