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. 1981 Jan 3;282(6257):13–14. doi: 10.1136/bmj.282.6257.13

Feasibility of outpatient management after intra-articular yttrium-90: comparison of two regimens.

P L Williams, J C Crawley, A M Freeman, D C Lloyd, J M Gumpel
PMCID: PMC1503778  PMID: 6778548

Abstract

In a study comparing two regimens of treatment after intra-articular irradiation of the knee with yttrium-90 one group of patients was allocated to bed rest for 48 hours in hospital and the other to mobilisation at home. Initially a Robert-Jones orthopaedic bandage was applied to the knee in all patients, serving as a semi-rigid splint, but as loss of isotope from the knee was appreciable in the mobilised patients, subsequent patients were sent home with the knee in a plaster-of-Paris cylinder. No difference in extra-articular spread or chromosomal damage was found between the patients sent home with their knee in a rigid splint and those treated by bed rest. Clinical outcome at three months was satisfactory in all three groups. These results show that rigid splinting is essential in reducing extra-articular spread of the isotope but that bed rest is not necessary. Increases in intra-articular pressure associated with quadriceps muscle activity combined with flexion of the knee may be the most important factor affecting extra-articular spread of isotope.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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