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.
Oslo Sanitetsforenings Rheumatism Hospital, Norway.
J C
JC
Teigland
G E
GE
Tjønnfjord
S A
SA
Evensen
B
B
Charania
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