Hip arthroplasty in hemophilic arthropathy.

Kelley, Scott S.; Lachiewicz, Paul F.; Gilbert, Marvin S.; Bolander, Mark E.; Jankiewicz, Joseph J.

doi:10.2106/00004623-199506000-00003

Cited by 99 publications

(113 citation statements)

References 16 publications

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“…Even the larger studies in literature only report on 13 patients in 20 years [15] and 39 patients in 16 years [17]. Kelley et al reported in a multicentre trial on 34 hip arthroplasties in 28 years [12]. Total hip arthroplasty is less common than total knee arthroplasty [2,16].…”

Section: Discussionmentioning

confidence: 99%

“…The first important series was published by Luck and Kasper in 1989 announcing that the first prosthetic arthrosplasty of the hip in a haemophiliac in the United States was performed in 1968 [15]. Further studies by Nelson in 1992, Löfquist in 1996 and Kelley in 1995 report on 39 in 38, 13 in 11, and 34 in 27 patients respectively [12,14,17]. According to the literature the Fig.…”

Section: Discussionmentioning

confidence: 99%

“…After studying the influence of HIV, they concluded that although they advise caution when total hip arthroplasty is considered in patients with HIV, total hip arthroplasty has a continuing role in the treatment of haemophiliac arthropathy in patients with severe pain and disability. From their point of view, seropositive patients without AIDS have a postoperative complication risk similar to that for the general population [12,17].…”

Section: Discussionmentioning

confidence: 99%

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Total hip replacement in patients with severe bleeding disorders

Habermann

Eberhardt

Hovy³

et al. 2006

International Orthopaedics (SICO

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Arthropathy of the hip is moderate in frequency in haemophiliac patients, but is less common than ankle, knee or elbow arthropathy. We report about our experience with total hip replacement in patients with severe bleeding disorders over a period of 30 years. Between July 1972 and 2002, 15 hips in 13 patients were replaced. The main bleeding disorders were Haemophilia A in ten patients and severe v. Willebrand disease in three patients. The mean follow-up was 132 months (range 12-363). We can demonstrate good long-term results, with only one aseptic loosening after 14 years and one septic loosening after 14 months in an HIV-positive patient. The Harris Hip Score increased from 48 points (32-66) preoperatively to 89 (76-100) postoperatively. In conclusion, total hip replacement performed in a specialised haemophiliac centre is a safe procedure, and results in pain relief and improvement of the quality of life in patients with severe bleeding disorders.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Total hip replacement in patients with severe bleeding disorders

Habermann

Eberhardt

Hovy³

et al. 2006

International Orthopaedics (SICO

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“…Hemophilic arthropathy infrequently affects the hip joints [15]. The hip is considered to be one of the main load bearing joints in the body.…”

Section: Discussionmentioning

confidence: 99%

Multidiciplinary Treatment of a Haemophilic Person with Total Hip Replacement Surgery- A Case Report

Dimitrova¹,

Gavrilovski

Dejanova-Ilijevska

2013

Maced J Med Sci

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Competing Interests: The author have declared that no competing interests exist. AbstractBackground: Treatment of hemophilic arthropathy may be conservative and operative. Conservative therapy includes medications and physiotherapy, and surgery includes synovectomy, tendon release, capsulotomy, osteotomy and total joint arthroplasty. During physiotherapy, surgery and postoperative rehabilitation haemophiliacs need to receive clotting factor.

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“…10 Many recent outcome studies have focused on medium to long-term outcomes -that is infection and revision rates, with no study focussing on the assessment of bleeding risk as a primary outcomes measure. 2,11 Mann et al reported an equivalent blood loss with routine THA for osteoarthritis. 1 However, others have shown an increased bleeding risk with a reported mean blood loss of 900 ml.…”

Section: Introductionmentioning

confidence: 99%