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Radiation Oncology • Non-malignant Disease
What, if any, radiation regimen would you use for knee arthrofibrosis in a patient undergoing repeat arthroscopy with lysis of adhesions?
The literature are limited but regimens described include arthitis-type regimens (low dose over multiple fractions), immediately preop 8 Gy x 1 and immediately postop 8 Gy x 1.
Answer from: Radiation Oncologist at Community Practice
The high-dose single fraction regimens seem to be adapted from heterotopic ossification protocols and would be my choice if there was a concern for HO. If the concern is for the reaccumulation of fibrotic tissue, I favor LDRT such as 0.5 Gy 2-3 doses weekly for 6-8 fractions. There will be more sust...
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