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Management of arthrofibrosis in haemophilic arthropathy

L Solimeno1, N Goddard, G Pasta

  • 1Department of Orthopedic Surgery, Angelo Bianchi Bonomi Hemophilia Centre, IRCCS Ca' Granda Maggiore Hospital Foundation, Milan, Italy. lugi@solimeno.net

Haemophilia : the Official Journal of the World Federation of Hemophilia
|July 2, 2010
PubMed

Insights

Hemophilic arthropathy often causes arthrofibrosis and limited joint motion, even in children. Treatment focuses on physiotherapy and splinting, with surgery for severe cases.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Pediatrics

Background:

  • Hemophilic arthropathy is a significant cause of arthrofibrosis.
  • Progressive synovial fibrosis leads to pain, muscle issues, and joint contractures.
  • Limited range of motion is common, affecting children and adults.

Purpose of the Study:

  • To summarize the impact of hemophilic arthropathy on joint function.
  • To outline current treatment strategies for this condition.

Main Methods:

  • Literature review on hemophilic arthropathy and arthrofibrosis.
  • Analysis of clinical manifestations and treatment outcomes.

Main Results:

  • Arthrofibrosis and loss of range of motion are highly associated with hemophilic arthropathy.
  • Symptoms include pain, muscle spasm, and joint contractures.
  • Early intervention with physiotherapy and splinting is crucial.

Conclusions:

  • Physiotherapy, splinting, and corrective devices are primary treatments.
  • Severe or late-stage cases may necessitate surgical interventions like soft-tissue procedures, osteotomy, or joint replacement.
Abstract

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