title: [Radiation synovectomy therapy combined with surgical synovectomy in chronic nonspecific synovitis of the knee joint].
abstract: OBJECTIVE
  This study aims to investigate the effectiveness of the radiation synovectomy (RS) procedure combined with the surgical synovectomy in the treatment of chronic nonspecific synovitis, which are resistant to medical treatment.
  
  
  METHODS
  Between March 2004 and October 2009, 17 knees of the 17 patients (15 males, 2 females; mean age 42.5 years; range 27 to 70 years) who underwent synovectomy surgery, followed by RS procedure with the 90Y at six weeks were included. At the end of a mean 48.7 months (range; 15-126 months) follow-up period, the Lysholm Knee Scale scores were used for functional assessment before and after RS procedure. The nocturnal pain, resting pain, activity pain and effusion were evaluated with the visual analog scale. The patient satisfaction was recorded as excellent, very good, good and poor.
  
  
  RESULTS
  At the end of the follow-up period, all patients had satisfaction scores of excellent and very good. There was a statistically significant difference between all assessment scores before and after treatment (p<0.05). It was found that none of the cases had radionuclide leakage from the joint in their control scintigraphy following RS procedure. No significant complication was seen except for deep vein thrombosis developed in one case.
  
  
  CONCLUSIONS
  Our study results showed that RS procedure combined with the surgical synovectomy is an effective and safe treatment method for the treatment of cases of chronic nonspecific synovitis which recurs despite medical treatment.
authors: Department of Orthopedics and Traumatology, Medical Faculty of Cumhuriyet University, 58140 Sivas, Turkey. oztemurz@gmail.com.
authors: Zekeriya
authors: Z
authors: Oztemür
authors: Okay
authors: O
authors: Bulut
authors: Murat
authors: M
authors: Korkmaz
authors: Hayati
authors: H
authors: Oztürk
authors: Gündüz
authors: G
authors: Tezeren
mesh_terms: D000328:Adult; D000368:Aged; D001182:Arthroscopy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D020127:Recovery of Function; D013585:Synovitis / Q000628:therapy*; D016896:Treatment Outcome; D015021:Yttrium Radioisotopes / Q000627:therapeutic use
chemical_list: D015021:Yttrium Radioisotopes