Abstract | OBJECTIVE: PATIENTS AND METHODS: RESULTS: Thirty two per cent of the patients in the synoviorthesis group had a good or excellent outcome after six months. Results were better with yttrium 90 than with osmic acid. Improvements were most marked in patients with chondrocalcinosis. Efficacy was negatively correlated with the femorotibial lesions but not with the patellofemoral lesions. Patients with knee alignment disorders had poorer outcomes. In the joint lavage group, 30% of the knees showed improvements after three months and results were significantly better after three and six months when the lavage was followed by an injection of triamcinolone hexacetonide. No side effects were recorded. CONCLUSION: Our data suggest that chemical or radiation synovectomy or joint lavage followed by injection of a delayed-action steroid may be useful for the treatment of knee osteoarthritis with chronic or recurrent effusions.
|
Authors | P Hilliquin, P Le Devic, C J Menkès |
Journal | Revue du rhumatisme (English ed.)
(Rev Rhum Engl Ed)
Vol. 63
Issue 2
Pg. 93-102
(Feb 1996)
ISSN: 1169-8446 [Print] France |
PMID | 8689294
(Publication Type: Comparative Study, Journal Article)
|
Chemical References |
- Adrenal Cortex Hormones
- Yttrium Radioisotopes
- Osmium Tetroxide
|
Topics |
- Adolescent
- Adrenal Cortex Hormones
(administration & dosage)
- Adult
- Aged
- Aged, 80 and over
- Biopsy
- Child
- Child, Preschool
- Chronic Disease
- Follow-Up Studies
- Humans
- Infant
- Injections, Intra-Articular
- Knee Joint
(drug effects, pathology, radiation effects)
- Middle Aged
- Osmium Tetroxide
(administration & dosage)
- Osteoarthritis
(pathology, therapy)
- Retrospective Studies
- Synovial Membrane
(drug effects, pathology, radiation effects)
- Therapeutic Irrigation
- Treatment Outcome
- Yttrium Radioisotopes
(administration & dosage)
|