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[Total knee arthroplasty and perioperative management of hemophilic arthritis].
Sun, Tie-zheng; Lü, Hou-shan; Guan, Zhen-peng.
Afiliación
  • Sun TZ; Arthritis Clinic and Research Center, People's Hospital, Peking University, Beijing 100044, China.
Zhonghua Wai Ke Za Zhi ; 45(10): 708-11, 2007 May 15.
Article en Zh | MEDLINE | ID: mdl-17688828
OBJECTIVE: To evaluate the clinical results and perioperative management of primary total knee arthroplasty (TKA) in hemophilic patients. METHODS: From February 1997 to February 2006, the data of 6 total knee arthroplasty performed in 4 hemophilic patients was reviewed retrospectively. The values of coagulation factor were maintained at suitable level by monitoring the activity of the factors and their inhibitors during perioperative period. The mean follow-up time was 4.4 years, knee society score and the last postoperative radiographs were recorded. RESULTS: After TKA, the hemophilic patients felt pain of knee relieved, the knee function was improved, but the range of motion increased limitedly. At the early post-operative stage, 3 knees in 2 patients with hemarthrosis or muscle bleeding, 1 of the 2 patients complicated with formation of inhibitor of factor VIII and healing problem in 1 knee after TKA, 1 patient with transient paralysis of the common peroneal nerve, 1 patient with venous circulation insufficiency crisis, but no compartment syndrome. In the late stage after TKA, 1 patient with hemarthrosis of both elbows, but no late infection, loosening, displacement and fracture of the prosthesis in the 6 knees. CONCLUSIONS: Total knee arthroplasty could alleviate knee pain and improve joint function in advanced severe hemophilic arthritic patients. It is important to monitor the activity and inhibitors of coagulation factor VIII or IX, which could decrease the early and late postoperative complications.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis / Artroplastia de Reemplazo de Rodilla / Hemofilia A Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Humans / Male / Middle aged Idioma: Zh Revista: Zhonghua Wai Ke Za Zhi Año: 2007 Tipo del documento: Article País de afiliación: China Pais de publicación: China
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis / Artroplastia de Reemplazo de Rodilla / Hemofilia A Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Humans / Male / Middle aged Idioma: Zh Revista: Zhonghua Wai Ke Za Zhi Año: 2007 Tipo del documento: Article País de afiliación: China Pais de publicación: China