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 |
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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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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. 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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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