Treatment of skin necrosis after radiation synovectomy with yttrium-90: a case report

Rheumatol Int. 2008 Aug;28(10):1067-8. doi: 10.1007/s00296-008-0571-2. Epub 2008 Mar 28.


Chronic synovitis, unresponsive to systemic medical therapy including agents, anti-inflammatory drugs and remission-inducing agents, and intra-articular administration of corticosteroids can be treated with surgical, chemical and radiation synovectomy. We reported a case of a 23 years old male. Skin radiation necrosis (4 x 5 cm) developed after an injection of Yttrium-90 (Y-90). Full-thickness skin graft had been applied but we were not able to succeed. Skin radiation necrosis was treated with Limberg's flap. As a result we recommend flap surgery instead of skin graft in skin radiation necrosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Humans
  • Male
  • Necrosis
  • Radiodermatitis / pathology
  • Radiodermatitis / surgery*
  • Skin Ulcer / etiology*
  • Skin Ulcer / pathology
  • Skin Ulcer / surgery*
  • Surgical Flaps
  • Synovitis / radiotherapy*
  • Yttrium Radioisotopes / therapeutic use


  • Yttrium Radioisotopes