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Hee-Nee Pang Department of Orthopaedic Surgery, Singapore General Hospital, Singapore and Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada

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Hamid Rahmatullah Bin Abd Razak Department of Orthopaedic Surgery, Singapore General Hospital, Singapore

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Stephen Petis Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada

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Douglas D. R. Naudie Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada

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Steven J. MacDonald Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada

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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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Carlos A. Encinas-Ullán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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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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Mark F Siemensma Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Anna E van der Windt Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Eline M van Es Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Joost W Colaris Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Denise Eygendaal Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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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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Xavier Crevoisier University Hospital Center (CHUV) and University of Lausanne (UNIL), Switzerland

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Mathieu Assal Foot and Ankle Center, Clinique la Colline, Geneva, Switzerland

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Katarina Stanekova University Hospital Center (CHUV) and University of Lausanne (UNIL), Switzerland

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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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Laura Walthert Department of Orthopaedic and Traumatology, CHUV, Lausanne, Switzerland

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Michael Ris Department of Orthopaedic and Traumatology, CHUV, Lausanne, Switzerland

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Kevin Moerenhout Department of Orthopaedic and Traumatology, CHUV, Lausanne, Switzerland

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Sébastien Déglise Department of Vascular Surgery, CHUV, Lausanne, Switzerland

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Pietro Giovanni Di Summa Department of Plastic and Hand Surgery, CHUV, Lausanne, Switzerland

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Sylvain Steinmetz Department of Orthopaedic and Traumatology, CHUV, Lausanne, Switzerland

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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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Hagen Fritzsche University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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Anne Weidlich University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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Klaus-Dieter Schaser University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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Elisabeth Mehnert University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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Doreen Winkler University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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Stefan Rammelt University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus, TU Dresden, Fetscherstrasse, Dresden, Germany

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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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Stein J. Janssen Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam Movement Sciences, Amsterdam, The Netherlands

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Iris van Oost Department of Orthopaedic Surgery, FORCE (Foundation for Orthopaedic Research Care Education), Amphia Hospital, Breda, The Netherlands

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Stefan J.M. Breugem Department of Orthopaedic Surgery, Bergman Clinics, Naarden, The Netherlands

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Rutger C.I. van Geenen Department of Orthopaedic Surgery, FORCE (Foundation for Orthopaedic Research Care Education), Amphia Hospital, Breda, The Netherlands

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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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Philippe Hernigou Hôpital Henri Mondor, University of Paris-Est, France

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François Roubineau Hôpital Henri Mondor, University of Paris-Est, France

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Charlie Bouthors Hôpital Henri Mondor, University of Paris-Est, France

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Charles-Henri Flouzat-Lachaniette Hôpital Henri Mondor, University of Paris-Est, France

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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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Paolo Salari Institute for Complex Arthroplasty and Revisions (ICAR), Villa Ulivella Clinic, Florence, Italy

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Andrea Baldini Institute for Complex Arthroplasty and Revisions (ICAR), Villa Ulivella Clinic, Florence, Italy

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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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Lars Adolfsson Department of Orthopaedics, University Hospital of Linköping, Sweden

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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

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