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

Iakovou, Ioannis; Kotrotsios, Dimitrios; Michailos, Konstantinos; Sachpekidis, Christos (2020). Radiosynovectomy is a safe and an efficient alternative in the treatment of chronic, recurrent knee hemarthrosis. World journal of nuclear medicine, 19(2), pp. 165-167. World Federation of Nuclear Medicine & Biology 10.4103/wjnm.WJNM_43_19

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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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