[Surgical principles in haemophilia patients]

Close cooperation between hematologists, surgeons, rehabilitation physicians, pediatricians, psychologists, physiotherapists and nurses is essential for the satisfactory result of any orthopedic surgical procedure in persons with hemophilia. There is no doubt that continuous prophylaxis is the way to avoid orthopedic problems of hemophilia that can still be seen today. Until such a goal can be reached, the orthopedic surgeon will continue performing arthrocentheses, synoviortheses, synovectomies, tendon lengthening, debridements, osteotomies, joint replacements, osteosynthesis of fractures and other less frequent surgical procedures to persons with hemophilia. Over the last 30 years some important achievements have been made in the treatment of hemophilia from the orthopedic point of view. However,some others are still to be solved. The common aim of all of them is to improve the quality of life of persons with hemophilia.