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Diffuse pigmented villonodular synovitis. An indication for total hip replacement in the young patient
Clinical Orthopaedics and Related Research
|March 1, 1976
Summary
Diffuse pigmented villonodular synovitis (DPVS) of the hip uniformly causes severe joint destruction. Total hip replacement proved successful in two cases, with no recurrence or complications during long-term follow-up.
Area of Science:
- Orthopedic Surgery
- Rheumatology
- Oncology
Background:
- Diffuse pigmented villonodular synovitis (DPVS) presents a significant challenge in the hip joint.
- DPVS uniformly leads to severe destruction of bone and cartilage in the hip.
Observation:
- Two patients with hip DPVS underwent total hip replacement.
- Both patients had young age and active lifestyles.
Findings:
- Total hip replacement was successful in both cases with follow-up periods exceeding 1 and 3 years.
- No evidence of disease recurrence, prosthetic failure, or other complications was observed.
- The surgical intervention demonstrated efficacy despite patient demographics and activity levels.
Implications:
- Total hip replacement is a viable and effective treatment for diffuse pigmented villonodular synovitis of the hip.
- Long-term follow-up is crucial to monitor for wear, erosion, and potential recurrence of DPVS.
- This approach offers a promising solution for preserving joint function in young, active patients with hip DPVS.