Total elbow arthroplasty in bleeding disorders: an additional series of 8 cases

Total elbow arthroplasty in haemophilia

“…Pain went from severe in four elbows and moderate in one to a median of zero at final follow‐up, and Mayo Elbow Performance Score showed significant improvement from a median score of 35 to a median score of 95. Ultimately, all five patients were very satisfied with their TEAs …”

“…One patient in the Kamineni et al study suffered an acute bleeding episode requiring a return to the operating room in the postoperative period. The Vochteloo et al study described one patient who had bleeding followed by infection triggered by a fall 44 months after TEA. It is unclear whether other complications are directly or indirectly attributable to haemophilia in many of the remaining patients, as opposed to other comorbidities, such as HIV.…”

“…Vochteloo et al report on eight TEAs in five patients, all of whom had functional difficulties, significant pain and radiographic evidence of severe joint destruction. The series included four males with severe haemophilia type A and one female with type III von Willebrand disease, a severe form of the disease that involves significant bleeding into joints with subsequent arthropathy.…”

“…The series included four males with severe haemophilia type A and one female with type III von Willebrand disease, a severe form of the disease that involves significant bleeding into joints with subsequent arthropathy. Two of the five patients were HIV positive …”

“…Complications included one deep infection 44 months postoperatively in an HIV‐positive patient following a fall that led to a bleed, and aseptic loosening in two elbows (9 years and 10 years after primary procedures). All three required revisions …”