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Arthroscopic removal of more than 100 stones in female patient's knee joint

Báo Sài Gòn Giải phóngBáo Sài Gòn Giải phóng19/04/2023


SGGPO

On April 19, Da Nang Family Hospital announced that a team of doctors had used endoscopy to remove more than 100 stones from the knee joint of a female patient.

Dr. Nguyen Ngo Dung and Dr. Huynh Dac Anh are performing surgery.
Dr. Nguyen Ngo Dung and Dr. Huynh Dac Anh are performing surgery.

Ms. PH (30 years old, residing in Cam Le district, Da Nang city) came to the Orthopedic Unit, Department of Surgery - Da Nang Family Hospital for examination with pain in her left knee and difficulty walking.

The results of the examination, ultrasound and X-ray showed many calcifications in the knee joint.

Arthroscopy to remove more than 100 stones from female patient's knee joint, photo 1

X-ray image shows patient's knee joint filled with calcifications

Dr. Nguyen Ngo Dung, Department of Orthopedics, Department of Surgery - Da Nang Family Hospital said that the calcifications existing in the synovial sac of the left knee joint, about 7-10mm in size and concentrated in the soft tissue of the popliteal region, up to 23*13mm in size, are synovial chondromas, the main cause of pain and hindered movement of the patient.

When the endoscope was inserted into the joint for examination, the doctors were surprised to see hundreds of milky white cartilage particles in the patient's knee joint. Some particles stuck to the synovial membrane, while others fell freely into the joint.

“If the patient does not have timely surgery, the condition will become more severe, possibly leading to osteoarthritis and loss of knee function,” said Dr. Nguyen Ngo Dung.

After consultation, the doctors chose endoscopic surgery to remove the tumor to help the patient recover mobility early, limiting joint damage. After 1 hour of surgery, doctors from the Musculoskeletal Unit, Department of Surgery and doctors from the Department of Anesthesia and Resuscitation - Da Nang Family Hospital removed more than 100 stones of various sizes. 5 days after surgery and rehabilitation training, Ms. H.'s health gradually stabilized, and she was able to walk lightly with the support of wooden crutches.

According to Ms. PH, when she was 12 years old, she had an injury to her left knee joint. When she went to see a doctor, the doctor concluded that she had a soft tissue injury and treated her with oral medication. However, for a long time after the injury, her knee joint had difficulty moving and felt like it was stuck, sometimes she could not straighten her knee. Until now, the pain has become more severe, walking is too difficult. When she learned that there were hundreds of stones in her knee joint, Ms. H. was very surprised and scared.



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