Systematic Arthroscopic Treatment of Synovial Chondromatosis of the Knee

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Systematic Arthroscopic Treatment of Synovial Chondromatosis of the Knee

By Lawrence Wengle 2 Videos FEATURING Tyler Hauer, Justin Chang, John Theodoropoulos

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September 14, 2021

Synovial chondromatosis is a benign metaplastic disease of synovial joints, characterized by the development of ...
read more ↘ cartilaginous nodules in the synovium. Treatment generally includes open or arthroscopic loose body removal combined with a synovectomy. An all-arthroscopic approach has been described to minimize complications and reduce morbidity while providing adequate control of local disease. The purpose of this technical note is to describe our techniques and technical pearls that allow for adequate excision of disease while minimizing complications and disease recurrence. The combination of patient positioning, multiple arthroscopic portals to ensure optimal visualization and freedom of instruments, the use of a leg holder, and a variety of surgical instruments to facilitate loose body removal and synovectomy is critical to optimize clinical outcomes and minimize complications. Although technically demanding, our described technique can help facilitate extensive loose body removal and complete synovectomy.
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