Long-term follow-up of prosthetic joint replacement in hemophilia.

摘要: We evaluated the outcome of seven severe hemophilic patients who underwent four total hip and knee arthroplasties since 1976. These have been followed at regular intervals over a period 2.5-9.5 years (mean 5.8). Of replacements, one had to be removed because loosening secondary infection 3 after initial surgery but was salvaged by pseudoarthrosis; other three are pain-free radiologically stable an excellent range motion 2.5, 5, 7 postoperatively. successfully arthrodesis; patient has loose components, prosthesis is still functional; final with bilateral prostheses limited functional motion. Clotting-factor replacement therapy effective in controlling intraoperative bleeding, even inhibitor, only procedure complicated hematoma formation. conclude that prosthetic joint may safely performed should reserved for those function pain, destruction, deformity. Total arthroplasty as successful these nonhemophiliacs. provides relief reduces frequency hemarthroses, corrects most deformity, it usually associated