Total joint arthroplasty: the final solution for knee and hip when synovitis could not be controlled

Area of Science:

• Orthopedic Surgery
• Hematology
• Rheumatology

Background:

• Haemophilic arthropathy frequently affects the knee and hip joints in severe cases.
• This condition causes significant pain and functional impairment, impacting patients' quality of life.

Purpose of the Study:

• To review the functional outcomes of hip and knee arthroplasty in patients with haemophilic arthropathy.
• To assess postoperative and long-term complications associated with these procedures.
• To evaluate the impact of Human Immunodeficiency Virus (HIV) on arthroplasty outcomes in this patient group.

Main Methods:

• Literature review of functional outcomes, complications, and HIV impact.
• Analysis of surgical management including total knee and hip arthroplasty.
• Synthesis of findings from the author's experience and existing studies.

Main Results:

• Arthroplasty, while technically demanding, demonstrates positive functional outcomes for severe haemophilic arthropathy.
• Common complications are described, necessitating careful surgical planning and management.
• The impact of HIV requires consideration in the overall assessment of surgical risks and benefits.

Conclusions:

• Hip and knee arthroplasty are viable and valuable treatment options for severe haemophilic arthropathy when conservative methods fail.
• Careful patient selection and management are crucial to optimize results and mitigate risks.
• Further research may explore specific strategies to minimize complications in this complex patient population.