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Orthopaedic surgery in hemophilic patients
Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
|January 1, 1983
Summary
Orthopaedic surgeries in hemophilic patients significantly reduce bleeding frequency and improve joint mobility. These procedures, including synovectomies and joint replacements, yield satisfactory results with proper factor VIII/IX substitution.
Area of Science:
- Orthopaedic Surgery
- Hematology
Background:
- Hemophilia management often requires surgical intervention for joint complications.
- Orthopaedic procedures in hemophilic patients necessitate careful management of coagulation factors.
Purpose of the Study:
- To evaluate the outcomes of various orthopaedic surgical procedures in hemophilic patients.
- To assess the efficacy of factor VIII/IX substitution in managing surgical risks.
Main Methods:
- Conducted 18 orthopaedic operations on hemophilic patients from 1970 onwards.
- Included procedures like synovectomy, tendon elongation, hip arthrodesis, endoprosthetic replacement, osteotomies, pseudo-tumor excision, and hematoma removal.
- Administered antihemophilic factor (factor VIII or IX) substitution to maintain levels between 60-120% during surgery and post-operative care.
Main Results:
- Synovectomies in joints with frequent hemorrhages led to reduced bleeding and improved range of motion.
- Other orthopaedic procedures were indicated by specific symptoms and showed satisfactory outcomes.
- No major complications were observed during the healing period.
Conclusions:
- Orthopaedic surgery is a viable option for managing joint issues in hemophilic patients.
- Effective perioperative factor substitution is crucial for successful surgical outcomes and minimizing complications.