[Synovectomy in the prevention of recurrent joint bleedings in haemophilia (author's transl)].
Synovectomy was performed in seven patients with severe haemophilia A, one with moderately severe haemophilia A and one with severe haemophilia B. Frequently recurring haemorrhages into one knee and demonstrated hypertrophic synovitis were the indications for operation in all. No serious bleeding complications occurred during or after the operations. After synovectomy the frequency of haemarthroses in the synovectomised joint decreased significantly. Satisfactory joint function was eventually achieved in all by gymnastic exercises and physiotherapy over a long period. The operation should only be done in large haemophilia centres were there is sufficient experience.
D000293:Adolescent; D000328:Adult; D002648:Child; D005081:Exercise Therapy; D006395:Hemarthrosis / Q000209:etiology / Q000517:prevention & control* / Q000601:surgery; D006467:Hemophilia A / Q000150:complications*; D002836:Hemophilia B / Q000150:complications; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D008297:Male; D026741:Physical Therapy Modalities; D011182:Postoperative Care; D012008:Recurrence; D000074402:Synovectomy
Synovektomie zur Prophylaxe rezidivierender hämophiler Gelenkblutungen