Knee arthroplasty in hemophilia. 5-12 year follow-up of 15 patients.
Between 1979 and 1987, 15 knee arthroplasties were performed in 15 Norwegians with congenital disorders of blood coagulation. 10 patients with a median follow-up of 7 (5-12) years had an almost painless joint, without hemorrhage. Flexion contractures were corrected, but total range of motion was not improved. There was a radiolucent zone at the bone-cement interphase of the tibial stem in 2 knees. The placement of the implants was correct and the alignment not changed. There were no fractures. 1 prosthesis had been removed because of a chronic infection. 4 patients had died. We conclude that arthroplasty can be safely performed with excellent relief of pain and improvement of function in patients with congenital disorders of blood coagulation.
Teigland
J C
JC
Oslo Sanitetsforenings Rheumatism Hospital, Norway.
Tjønnfjord
G E
GE
Evensen
S A
SA
Charania
B
B
D000328:Adult; D001168:Arthritis / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006467:Hemophilia A / Q000150:complications*; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007720:Knee Prosthesis; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D011183:Postoperative Complications; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology