1. Long-term results of total knee arthroplasty in hemophilic arthropathy.
- Author
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Santos Silva M, Rodrigues-Pinto R, Rodrigues C, Morais S, and Costa E Castro J
- Subjects
- Adult, Blood Transfusion, Female, Hemarthrosis etiology, Humans, Knee Joint surgery, Knee Prosthesis, Male, Pain etiology, Range of Motion, Articular, Retrospective Studies, Young Adult, Arthroplasty, Replacement, Knee, Hemarthrosis surgery, Hemophilia A complications
- Abstract
Purpose: Knee arthropathy is a frequent complication affecting hemophilic patients, which can cause severe pain and disability. When conservative measures fail, total knee arthroplasty (TKA) may be performed., Methods: Eighteen TKA were performed in 15 patients with hemophilia during a 24-year period in a Hemophilia Comprehensive Care Center. All patients were evaluated by a multidisciplinary team constituted by a hematologist, an orthopedic surgeon, and a physical medicine and rehabilitation physician. Mean follow-up was 11.3 years., Results: Ten-year survival rate with prosthesis removal as end point was 94.3%. At last, follow-up visual analog pain scale score was 3.2 points, knee osteoarthritis outcome scale was 86.7 points, and mean range of motion was 88°. Only two patients required perioperative transfusion. Complication rate was 27.8% and included two infections, two prosthesis stiffness, and one case of recurrent hemarthrosis., Conclusion: After appropriate medical optimization and with prompt rehabilitation, TKA can be performed in hemophilic patients with good clinical results and survivor rates comparable to nonhemophilic patients.
- Published
- 2019
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