Surgical synovectomy in haemophilic arthropathy of the knee.

摘要: Twenty seven patients with haemophilia who had repeated haemarthroses affecting the knee joint, despite appropriate substitution therapy, were treated by surgical synovectomy. Open operations carried out on 18 and 9 an arthroscopic procedure. The average age at time of synovectomy was 13 years for both open groups. group followed up 15.2 closed 5.4 years. Operation took 70 minutes in 50 open. Patients arthroscopy hospital 5 days those operation 10. Synovectomy methods significantly reduced bleeding episodes. results assessed according to classification recommended Orthopaedic Advisory Committee World Federation Haemophilia. In 2 a good result, 10 fair 6 poor; 3 1 poor. Both appeared slow, but did not halt, radiographic deterioration joints.