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Hip Arthropathy in Haemophilia
Christian Carulli1, Anna Rosa Rizzo2, Massimo Innocenti3
1Orthopaedic Clinic, University of Florence, Florence 50139, Italy. christian.carulli@unifi.it.
Journal of Clinical Medicine
|April 12, 2017
Summary
Hip arthropathy in haemophilia patients can be disabling. Early detection and multidisciplinary management, including prophylaxis and advanced surgical techniques, significantly improve functional outcomes.
Area of Science:
- Orthopedics
- Hematology
- Rheumatology
Background:
- Hip arthropathy is a significant cause of disability in haemophilia patients, even with infrequent hip bleeds.
- Femoroacetabular alterations can impair function from a young age.
- Preventive strategies include haematologic prophylaxis, lifestyle management, and low-impact physical activity.
Purpose of the Study:
- To provide an updated review of approaches to hip arthropathy in haemophilia.
- To highlight the importance of early detection and multidisciplinary management.
Main Methods:
- Review of current literature and clinical practices for managing hip arthropathy in haemophilia.
- Emphasis on early detection through clinical and ultrasound evaluations.
- Discussion of various treatment modalities from conservative to surgical interventions.
Main Results:
- Early stages: anti-inflammatory drugs and physical therapy.
- Recurrent symptoms: viscosupplementation and chemical synoviorthesis.
- Advanced stages: hip arthroscopy (synovectomy, loose body removal).
- Late stages: total hip arthroplasty (THA) with improved outcomes due to modern implants and multidisciplinary care.
Conclusions:
- Multidisciplinary management and modern surgical techniques have dramatically improved functional results after total hip arthroplasty.
- Early detection in childhood via clinical and ultrasound assessments is crucial for timely intervention.
- Comprehensive management strategies are key to preventing and treating hip arthropathy in haemophilia.