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Updated: Feb 11, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
44.0K
Total elbow arthroplasty in haemophilia
T M Dale1, J M Saucedo2, E C Rodriguez-Merchan3
1Baylor College of Medicine, Houston, TX, USA.
Summary
Total elbow arthroplasty (TEA) may improve pain and motion in severe haemophilic arthropathy, but limited data and concerning complication rates suggest caution. Routine use is not yet recommended due to insufficient evidence and survival analysis.
Area of Science:
- Orthopedic Surgery
- Hematology
- Reconstructive Surgery
Background:
- Severe haemophilia can lead to advanced elbow arthropathy, significantly impacting daily activities.
- Haemophilic arthropathy presents unique challenges in managing joint destruction.
Purpose of the Study:
- To review existing data on total elbow arthroplasty (TEA) for haemophilic elbow arthropathy.
- To compare TEA outcomes in haemophilia to other indications.
- To identify specific considerations for TEA in haemophilic patients.
Main Methods:
- A comprehensive narrative literature review was conducted.
- Data from case series and reports on TEA for haemophilic arthropathy were analyzed.
Main Results:
- Limited data exist, primarily from small case series and reports.
- Pain relief and patient satisfaction appear promising.
- Variable outcomes, significant complications, and infection rates were noted, potentially limiting routine use.
Conclusions:
- While TEA may enhance pain control and range of motion, insufficient data preclude routine recommendation.
- High complication and infection rates require careful consideration.
- Lack of survival data hinders risk-benefit quantification for TEA in haemophilic arthropathy.
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