Orthopaedic surgery in hemophilic patients.

作者: H. -G. Willert , Ch. Horrigz , W. Ewald , I. Scharrer

DOI: 10.1007/BF00433272

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摘要: Since 1970 we performed 18 operations in hemophilic patients: 7 synovectomies, 2 elongations of the achilles-tendon, 1 hip arthrodesis, endoprosthetic replacements hip, intertrochanteric flexion- and varus-osteotomies, excision a pseudo-tumor removals hematomas knee joint. The synovectomies were done only joints affected by frequent hemorrhages. bleeding frequency could be reduced considerably range motion improved. indication for several other orthopaedic procedures depended on symptoms. results satisfactory without major complications during healing period. During surgery following postoperative care antihemophilic factor was substituted up to levels between 60 120%. VIII or IX controlled daily Hb, GOT, GPT Australia antigen-antibody weekly base. length substitution regimen dependent individual wound treatment.

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