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KMID : 1130920160200040192
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Journal of Korean Foot and Ankle Society
2016 Volume.20 No. 4 p.192 ~ p.195
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Pigmented Villonodular Synovitis of the Ankle and Subtalar Joint Treated by Surgical Excision and Ligament Reconstructions: A Case Report
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Shin Jae-Hyuk
Lee Byung-Hoon
Kim Gab-Lae
Kim Kwon
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Abstract
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Diffuse pigmented villonodular synovitis (PVNS) involving ankle joint needs complete mass excision and total synovectomy to reduce recurrence rate, while surrounding ligaments can be easily damaged. So the concurrent ligament reconstruction should be considered for post-excisional instability in subtalar joint as well as lateral ankle joint. We describe our experience in the management of a diffuse type PVNS, invades lateral talocrural joint extended to subtalar joint and introduce a new technique of all-in-one reconstruction for anterior talofibular,calcaneofibular and cervical ligament. Our new reconstruction technique applying modified Chrisman and Snook technique is useful in stabilization for deficiencies of the ligament complexafter PVNS excisionat lateral ankle and subtalar joint.
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KEYWORD
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Pigmented villonodular synovitis, Subtalar instability, Ligament reconstruction, Cervical ligament
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