The Alonso and Magallón memorial

Rodríguez-Merchán, E. Carlos; Tusell, Javier; Moreno, M.; Lavandeira, Arantza Estévez

doi:10.1046/j.1365-2516.2002.00595.x

Cited by 1 publication

(5 citation statements)

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“…An analysis of our data of arthroscopic synovectomy of the knee does not support the claim of superior results when compared with open procedures [7]. Patients with symptoms of less than 1 year's duration have a greater percentage of good results than those with symptoms for longer than 1 year.…”

Section: Discussioncontrasting

confidence: 59%

“…Rifampicin is expected to produce similar results to 90 Y in the small joints (elbows and ankles), but several weekly, painful injections are needed; in addition, rifampicin synoviorthesis is not recommended for the knee joint. Surgical synovectomy generally achieves similar results to 90 Y synoviorthesis [7,9,15]; however, as it is a surgical procedure under general anaesthesia, it is accompanied by a certain number of complications common to surgical procedures. Both surgical synovectomy and radioactive synoviorthesis are procedures of synovial destruction used in a number of haemophilia centres for the management of chronic haemophilic synovitis.…”

Section: Discussionmentioning

confidence: 97%

“…Radioactive synoviorthesis Gold-198 [7,10] 70% Yttrium-90 [11,14] 85% Phosphorus-32 [21] 85% Synovectomy open [7,16] 70% arthroscopic [7,9,17] 70%…”

Section: Methods [Reference]mentioning

confidence: 99%

“…Surgical synovectomy may be done through an open technique or by arthroscopic means. At the ankle [15] and elbow [7], open synovectomy is recommended. After skeletal maturity, a radial head excision may be indicated in order to improve pronation±supination of the elbow [16].…”

Section: Surgical Synovectomymentioning

confidence: 99%

“…Sometimes such conventional treatment does not break the haemarthrosis±synovitis±haemarthrosis cycle. Patients are eligible 1 for radioactive synoviorthesis [4±8] or surgical synovectomy [7,9] if they have recurrent haemarthrosis with chronic synovitis in the target joint, and if conventional treatment has been ineffective.…”

mentioning

confidence: 99%

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Methods to treat chronic haemophilic synovitis

Rodríguez-Merchán

2001

Haemophilia

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The aim of both synoviorthesis and surgical synovectomy is to remove the inflamed and hypervascular synovium as soon as possible in order to prevent the onset of haemophilic arthropathy. Ideally, however, these methods should be performed before the articular cartilage has eroded. Radioactive synoviorthesis is a relatively simple, virtually painless and inexpensive technique for the treatment of chronic haemophilic synovitis, even in patients with inhibitors. Thus, radioactive synoviorthesis is the best choice for patients with persistent synovitis. Personal experience and the general recommendation among orthopaedic surgeons and haematologists is that when three early consecutive synoviorthesis (repeated every 3 months) fail to halt synovitis, a surgical synovectomy (open or by arthroscopy) should be immediately considered.

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 97%

“…Radioactive synoviorthesis Gold-198 [7,10] 70% Yttrium-90 [11,14] 85% Phosphorus-32 [21] 85% Synovectomy open [7,16] 70% arthroscopic [7,9,17] 70%…”

Section: Methods [Reference]mentioning

confidence: 99%