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Radiosynovectomy is a safe and an efficient alternative in the treatment of chronic, recurrent knee hemarthrosis

1 Department of Nuclear Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece
2 Department of Nuclear Medicine, Inselspital, Bern University Hospital, Bern, Switzerland

Correspondence Address:
Ioannis Iakovou,
Department of Nuclear Medicine, Papageorgiou Hospital, Aristotle University of Thessaloniki, Ring Road, Nea Efkarpia, Thessaloniki 56429
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/wjnm.WJNM_43_19

Chronic recurrent hemarthrosis, defined as repeated intra-articular hemorrhage, can lead to a disabling arthropathy. We herein report on a 26-year-old patient presenting with recurrent, postoperative, serious knee hemarthrosis refractory to conventional treatment, including systemic and intra-articular steroid injections as well as chemical synovectomy with osmic acid. The patient was finally treated with a twice performed knee radiosynovectomy with yttrium-90 and showed an extraordinary good clinical outcome with a symptom-free period of 4 years. In cases of refractory hemarthrosis, radiosynovectomy should have a place in the therapeutic armamentarium of the treating physician, as a minimally invasive, safe, and efficient therapeutic tool.

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