Total joint arthroplasty in haemophilia

In severely affected haemophilic patients arthropathy is a common problem which can lead to considerable pain and functional deficit. Surgical management, including total joint arthroplasty, can be undertaken if conservative management fails. A search of the literature showed that a number of studie...

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Veröffentlicht in:Haemophilia : the official journal of the World Federation of Hemophilia 2000-09, Vol.6 (5), p.474-481
Hauptverfasser: Beeton, K, Rodriguez-Merchan, E C, Alltree, J
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container_title Haemophilia : the official journal of the World Federation of Hemophilia
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creator Beeton, K
Rodriguez-Merchan, E C
Alltree, J
description In severely affected haemophilic patients arthropathy is a common problem which can lead to considerable pain and functional deficit. Surgical management, including total joint arthroplasty, can be undertaken if conservative management fails. A search of the literature showed that a number of studies describing the use of total knee arthroplasty (TKA) and total hip arthroplasty (THA) in haemophilia have been published, whereas shoulder, elbow and ankle arthroplasties are confined to case reports. This paper reviews the functional outcome of arthroplasty in the different joints, the postoperative and long‐term complications, and the impact of HIV. Although complications are commonly described and the surgery is technically demanding, the results suggest that arthroplasty, particularly of the hip and knee, can be a valuable option in the management of severe haemophilic arthropathy.
doi_str_mv 10.1046/j.1365-2516.2000.00443.x
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subjects Arthroplasty, Replacement - adverse effects
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Knee - adverse effects
Elbow - surgery
haemophilia
Hemarthrosis - complications
Hemarthrosis - surgery
Hemophilia A - complications
Hemophilia A - surgery
Humans
outcome
Shoulder - surgery
total joint arthroplasty
title Total joint arthroplasty in haemophilia
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