期刊
JOURNAL OF ARTHROPLASTY
卷 23, 期 6, 页码 931-933出版社
CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1016/j.arth.2007.07.012
关键词
total knee arthroplasty; spontaneous recurrent hemarthrosis; arthroscopy; synoviorthesis; radiosynovectomy
类别
A case of spontaneous recurrent hemarthrosis-due to developed hypertrophied synovium-after total knee arthroplasty is reported. The patient was Successfully treated with radiosynovectomy. The first hemorrhage Occurred IS months after the total knee arthroplasty. Several similar episodes followed over a period of 4 years. Because conservative treatment failed to control the bleeding, an arthroscopic lavage was performed, which revealed the existence of proliferative synovium. A significant part of the hypertrophic tissue was excised With the use of a thermocoagulator. However, I month later, another episode of hemarthrosis occurred. As a final step before reoperation, the patient was treated with intra-articular injection of ytrium 90. Eighteen months later, she remains symptom-free, is very satisfied with the result, and reports no new episode of hemarthrosis.
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