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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 3,
314-318.
doi: 10.1302/0301-620X.90B3.19664 Copyright © 2008 by British Editorial Society of Bone and Joint Surgery Arthroscopy in primary synovial chondromatosis of the hipDESCRIPTION AND OUTCOME OF TREATMENTT. Boyer, MD, Rheumatologist, Past President of the French Arthroscopy Association1; and H. Dorfmann, MD, Rheumatologist11 IAL Nollet, 23 rue Brochant, 75017 Paris, France. Correspondence should be sent to Dr T. Boyer; e-mail: thierry.boyer13{at}wanadoo.fr
Between 1985 and 2000, 120 patients underwent arthroscopic management for primary synovial chondromatosis of the hip. We report the outcome of 111 patients with a mean follow-up of 78.6 months (12 to 196). More than one arthroscopy was required in 23 patients (20.7%), and 42 patients (37.8%) went on to require open surgery. Outcomes were evaluated in greater detail in 69 patients (62.2%) treated with arthroscopy alone, of whom 51 (45.9%) required no further treatment and 18 (16.2%) required further arthroscopies. Of the 111 patients, 63 (56.7%) had excellent or good outcomes. At the most recent follow-up, 22 patients (19.8%) had undergone total hip replacement. Hip arthroscopy proved beneficial for patients diagnosed with primary synovial chondromatosis of the hip, providing good or excellent outcomes in more than half the cases.
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