Total knee and hip arthroplasty in haemophilic patients

摘要: We evaluated the long-term results of three total hip and nine knee arthroplasties in haemophilic patients with disabling pain end-stage arthropathy. These have been followed over a period 2-12 years (mean 6.9). One patient had post-operative haematoma, which was evacuated; two required manipulation because limited range motion. There were no infections. At follow-up, all but completely free pain; occasional pain. The functional improvement impressive an average increase score from 37 to 80 points post-operatively. increased 36 85 points. motion seven joints, unchanged joints decreased three. arthroplasty revised after 9 for aseptic loosening. demonstrated nonprogressive radiographic evidence Median consumption coagulation factor concentrate Severe haemophiliacs 47.00 U yr(-1) (range 16.000-144.000) before surgery, 25.000 18.000-132.000) at 2 surgery. Conclusion: is valuable option symptomatic arthropathy, order obtain relief improvement. It associated low rate complications may reduce need substitution Vm IX.