title: Arthroscopy for chronic hemophilic synovitis of the knee.
abstract: Between 1988 and 1995, 32 knee joints (29 patients) with hemophilic arthropathy underwent arthroscopy. The spectrum of procedures ranged from resection of fibrous plicae to synovectomy. Technical difficulties appeared in cases of scarred fixed patella, pronounced posterior tibia subluxation, and severe fibrous ankylosis. All operations done between 1988 and 1991 (23 operations; 21 patients) were reviewed retrospectively. The mean age of the patients in this series was 30 years and the mean followup was 5 years. On subjective evaluation, 13 operations achieved a definite improvement, five showed slight improvement, and two had no improvement (three operations were excluded). Arthroscopic surgery, as a relatively low risk technique, combined with early functional rehabilitation, can be used to achieve satisfactory results in patients with hemophilic arthropathy.
authors.affiliation: Orthopedic Hospital St. Josef, Troisdorf, Germany.
authors.forename: H H
authors.initials: HH
authors.lastname: Eickhoff
authors.forename: W
authors.initials: W
authors.lastname: Koch
authors.forename: G
authors.initials: G
authors.lastname: Raderschadt
authors.forename: H H
authors.initials: HH
authors.lastname: Brackmann
mesh_terms: D000293:Adolescent; D000328:Adult; D000844:Ankylosis / Q000601:surgery; D001182:Arthroscopy; D001779:Blood Coagulation Factors / Q000008:administration & dosage / Q000627:therapeutic use; D002908:Chronic Disease; D002921:Cicatrix / Q000601:surgery; D004724:Endoscopy; D005355:Fibrosis; D005500:Follow-Up Studies; D006395:Hemarthrosis / Q000150:complications; D006467:Hemophilia A / Q000150:complications*; D002836:Hemophilia B / Q000150:complications; D006801:Humans; D007592:Joint Diseases / Q000601:surgery; D004204:Joint Dislocations / Q000601:surgery; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010329:Patella / Q000601:surgery; D026741:Physical Therapy Modalities; D012189:Retrospective Studies; D012449:Safety; D000074402:Synovectomy; D013585:Synovitis / Q000601:surgery*; D013977:Tibia / Q000601:surgery; D000267:Tissue Adhesions / Q000601:surgery; D016896:Treatment Outcome
chemical_list: D001779:Blood Coagulation Factors