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©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Nov 18, 2024; 15(11): 1101-1108
Published online Nov 18, 2024. doi: 10.5312/wjo.v15.i11.1101
Published online Nov 18, 2024. doi: 10.5312/wjo.v15.i11.1101
Arthroscopic synovectomy for synovial hyperplasia in chronic knee gouty arthritis: A case report
Ghuna A Utoyo, Department of Orthopaedics and Traumatology, Dr. Hasan Sadikin General Hospital/Universitas Padjadjaran, Bandung 40161, Jawa Barat, Indonesia
Calvin Calvin, Department of Orthopaedics and Traumatology, St. Borromeus Hospital, Bandung 40132, Jawa Barat, Indonesia
Author contributions: Calvin C contributed to manuscript writing, editing, data collection, data analysis; Utoyo GA contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ghuna A Utoyo, MD, Surgeon, Department of Orthopaedics and Traumatology, Dr. Hasan Sadikin General Hospital, Jalan Pasteur No. 38, Pasteur, Kecamatan Sukajadi, Bandung 40161, Jawa Barat, Indonesia. ghuna@unpad.ac.id
Received: September 9, 2024
Revised: October 3, 2024
Accepted: October 20, 2024
Published online: November 18, 2024
Processing time: 67 Days and 4.7 Hours
Revised: October 3, 2024
Accepted: October 20, 2024
Published online: November 18, 2024
Processing time: 67 Days and 4.7 Hours
Core Tip
Core Tip: Recurrent knee effusion in cases of chronic knee gouty arthritis (KGA) that are refractory to conservative treatment should alert surgeons to the possibility of synovial structural alteration, such as synovial hyperplasia. Diagnostic arthroscopy should be considered in these cases to allow a definitive diagnosis. In our case, tophi deposition and excessive synovial membrane thickening were observed intraoperatively. Therefore, partial synovectomy was performed to address the excessive synovial tissue. At six months, no further episode of recurrent knee effusion. These findings suggest that an arthroscopic synovectomy was effective in managing synovial hyperplasia in the case of chronic KGA.