Surgical Treatment of Venous Malformations of the Knee
Dernière mise à jour : 17 sept. 2020
Treatment Outcomes for 35 Patients
Venous malformations (VMs) of the knee joint are an un- common lesion and invariably associated with severe functional sequels despite therapeutic progress. The goals of this treatment in symptomatic patients are to alleviate pain, to avoid cartilage lesions, and to preserve mobility of the knee. VMs of the knee were first identified years ago, and they were initially treated surgically.1,2 However, surgical difficulties, frequent incomplete excision, and reduced postoperative mobility of the knee resulted in a switch from this initial surgical approach to sclerotherapy procedures.
Sclerotherapy is a less invasive procedure that is often effective in terms of pain reduction.3–5 A degree of consid- eration needs to be given in regards to the actual effectiveness of recurrent sclerotherapy versus surgical procedure. The aim of this study was to analyze the benefits of surgery in terms of pain, increased mobility of the knee, residual VM as seen by magnetic resonance imaging (MRI) and quality of life.