Knee Surgery in Hemophilia

摘要: Orthopedic knee problems are very frequent in hemophilia. Taking into consideration the significant hematological progress handling hemophilia (primary prophylaxis) recent decades, for a long time now, we have thought and hoped that orthopedic surgeons would no longer be necessary treatment of patients with suffer. Unfortunately, to this time, wish has not come true. In 40 years been working on musculoskeletal hemophilia, never stopped operating resolve multiple problems, from simple draining hemarthrosis (joint aspiration or arthrocentesis) performing total replacement (TKR), whether primary revision. Close collaboration between hematologists, surgeons, rehabilitation physicians, pediatricians, psychologists, physiotherapists, nurses is essential proper hemophiliac patients. The ideal scenario prophylaxis (prevention disease) prevent major degenerative changes still see so frequently type Until achieve this, will continue having perform invasive procedures, such as articular punctures drain hemarthrosis, radiosynovectomies, arthroscopic synovectomies, tendon elongations, realignment osteotomies, replacements revision) knees people As result over last managed greatly improve quality life problems.