Joint debridement in the treatment of advanced hemophilic knee arthropathy.
Joint debridement by a meticulous surgical technique has been performed for advanced knee arthropathy in three hemophiliacs between the ages of 22 and 27. The results at follow-up evaluation, ranging from one to five years, have been surprisingly good. The procedure involves comparatively little surgical trauma and appears to have a low rate of complications. Knee joint debridement should be considered in the young hemophilic patient as a means of avoiding or at least delaying more extensive operations such as arthrodesis or arthroplasty. Joint debridement may give the patient years of pain-free, independent, and gainfully employed life with a minimum of surgical trauma.
D000328:Adult; D003646:Debridement; D005500:Follow-Up Studies; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007592:Joint Diseases / Q000209:etiology / Q000601:surgery; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008722:Methods; D013997:Time Factors