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, synovectomy, lavage and IPE as the mode of treatment. 2 With the number of TKA procedures performed expected to rise exponentially, 21 more attention and resources put towards diagnosing and managing peri-prosthetic infections is essential. 19
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case with spontaneous haemarthrosis nine years after TKA. 17 Arthroscopy revealed a very extensive PVNS, so that after a few weeks an open synovectomy was performed. Bunting et al presented a case of focal PVNS 15 months after TKA. 18 They
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Performance Score. Arthroscopic arthrolysis Arthroscopic arthrolysis allows debridement of anterior, posterior, and posterolateral compartments, synovectomy, removal of adhesions and osteophytes, capsular release, and removal of loose bodies
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. Depending upon the success or otherwise of the conservative treatment, surgery can be performed at all stages. In stage I, a tibialis posterior tendon synovectomy can bring pain alleviation. In stage II, functional surgery will usually be indicated and
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performed, combined with total synovectomy, to prevent postoperative effusion ( Fig. 6 ). Figure 6 Soft tissue incision and exposure of the knee joint. Femoral and patellar cuts The distal femur is exposed subperiosteally up to the
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identical to localized TGCT, the distinction is made by the anatomic location. Open total synovectomy is the treatment of choice to prevent recurrence ( 35 , 37 ). At the ankle joint, this requires separate anterior and posterior incisions. Extensile bone
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first, and to treat a chronic infection with a total synovectomy and a one-step UKA-to-TKA conversion combined with 12 weeks of antibiotics. 54 We feel that – despite the limited evidence of periprosthetic joint infection (PJI) in UKA – diagnosis and
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damaged in any case by it. After the cup has been removed, a new bearing couple has to be chosen. Because of the risk of ceramic particles in the joint or in the neosynovium even after debridement and extensive synovectomy, the best bearing surfaces are
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released and wide synovectomy is performed in the supra-patellar pouch, medial and lateral gutters. Lateral retinacular release and lateral patellar facetectomy are helpful to increase patellar mobility as part of the initial approach to the lateral gutter
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arthroscopic arthrolysis includes partial synovectomy, debridement of intra-articular adhesions and capsular release or capsulotomy. Loose bodies may be removed and resection of intra-articular osteophytes can be simultaneously performed. The main benefits of