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Predictive Variables for Interventional Angiography among Patients with Knee Hemarthrosis.

Authors
  • Ko, Sang-Hun1
  • Jung, Kwang-Hwan1
  • Cha, Jae-Ryong1
  • Park, Ki-Bong1
  • 1 Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, Korea. , (North Korea)
Type
Published Article
Journal
Diagnostics
Publisher
MDPI AG
Publication Date
Apr 13, 2022
Volume
12
Issue
4
Identifiers
DOI: 10.3390/diagnostics12040976
PMID: 35454024
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Studies regarding the variables that could predict the success of conservative treatment for knee hemarthrosis are lacking. This retrospective study evaluated the laboratory variables of patients who had unsatisfactory results from conservative treatment for knee hemarthrosis. Twenty-nine patients conservatively treated for knee hemarthrosis were included and divided into two groups: group A comprised 14 patients who underwent interventional angiography and selective embolization due to failed conservative treatment, and group B comprised 15 patients with successful results after conservative treatment. The results of the serological and synovial fluid tests were evaluated. The mean number of synovial red blood cells (RBCs) was 1,905,857 cells/µL and 7730 cells/µL in groups A and B, respectively (p = 0.01), while the mean number of RBCs per high-power field (HPF) was 68.9 and 3.2, respectively (p < 0.01). Patients who underwent interventional angiography and selective embolization after failed conservative treatment for knee hemarthrosis had higher synovial RBC counts and RBC counts per HPF than those with successful outcomes after conservative treatment. It is necessary to carefully interpret the results of the synovial fluid analysis in patients with knee hemarthrosis; if the synovial fluid analysis shows a synovial RBC count greater than 81,500 and RBC count per HPF greater than 16.3, we recommend immediate interventional angiography rather than continuing conservative treatment.

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