Cementless total hip arthroplasty in haemophilia patients through direct anterior approach

Introduction Total hip arthroplasty (THA) has become the treatment of choice for patients with severe haemophilic arthropathy of the hip. However, the intraoperative and postoperative complications, including blood loss and infection, are significant concerns. Direct Anterior Approach (DAA) might be...

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Veröffentlicht in:Haemophilia : the official journal of the World Federation of Hemophilia 2021-03, Vol.27 (2), p.e239-e244
Hauptverfasser: Kaseb, Mohammad Hasan, Shafiee, Seyyed Hossein, Shamabadi, Ahmad, Aminjavaheri, Seyyed Alireza, Mortazavi, Seyed Mohammad Javad
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Sprache:eng
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Zusammenfassung:Introduction Total hip arthroplasty (THA) has become the treatment of choice for patients with severe haemophilic arthropathy of the hip. However, the intraoperative and postoperative complications, including blood loss and infection, are significant concerns. Direct Anterior Approach (DAA) might be beneficial in THA of patients with haemophilia. Aim The present study was conducted to assess outcomes of THA using DAA in patients with haemophilia. Methods We retrospectively reviewed our joint replacement database. From January 2010 to December 2015, we had 12 patients with haemophilia who underwent 14 THAs by DAA and followed for an average of 69 months. Results All patients were male with a mean age of 36 ± 7 years at the time of THA. The mean Harris Hip Score improved from 46 preoperatively to 89 at the final follow‐up visit. One dislocation and one infection occurred. Only one patient with simultaneous bilateral THA needed a transfusion. All components were radiologically well fixed at the final follow‐up visit except one acetabular loosening that needed revision. All patients were satisfied with the outcome of the surgery at the final follow‐up visit. Conclusion In this study, it was observed that complications of cementless THA using DAA in haemophilia patients with hip arthropathy are comparable to other surgical approaches. However, the complication of bleeding in this approach might be less.
ISSN:1351-8216
1365-2516
DOI:10.1111/hae.14224