OBJECTIVES The aim of this study was to evaluate the long term effect of radiation synovectomy with yttrium-90 silicate in haemophiliac patients with recurrent haemarthrosis. METHODS The bleeding frequency and the mobility of the joint were recorded in 16 joints of 14 patients 1 year before radiosynovectomy and during follow up, which ranged from 3 to 6 years. Patients evaluated the effect of...

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Phenotypic variability is well recognized in severe hemophilia A. A few studies, mainly in adults treated lifelong on demand, suggest that bleeding phenotype correlates with factor VIII gene (F8) mutation type. Because treatment regimens influence outcomes to a large extent, examining bleeding phenotype during the first years of life may be the most suitable way to define this variability. We s...

A prospective study of elbow aspiration was performed to assess the effect of this procedure on pain relief and function following Type I and II fractures of the radial head. Aspiration of the haemarthrosis produced dramatic pain relief in 77% of elbows thus treated. Earlier return of function was also noted for these elbows compared to controls. We recommend elbow aspiration for patients with ...