title: Arthroscopic synovectomy in haemophilic arthropathy of the knee.
abstract: From January 1996 to January 2001, arthroscopic synovectomies were performed in 28 knees with haemophilic arthropathy. The mean follow-up period was 5 years and 11 months. Six portals (two anterior, two suprapatellar, two posterior) and a posterior trans-septal portal were used in all cases. The average Hospital for Special Surgery (HSS) knee score increased from 56.4 to 71.5 points at the last follow-up. The average frequency of haemarthrosis reduced from five times per month before operation to once per month. The amount of factor replacement decreased from a mean of 4,633 U to 1,505 U. Progression of arthritis was observed radiographically in three cases at the last follow-up. An arthroscopic synovectomy of the knee using appropriate arthroscopic portals is a useful method in treating haemophilic patients as it decreases bleeding episodes, amount of factor replacement and knee pain.
authors.affiliation: Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University, 1 Hoiki-dong, Seoul, 130-702, South Korea. kyoungho@khmc.or.kr
authors.forename: Kyoung Ho
authors.initials: KH
authors.lastname: Yoon
authors.forename: Dae Kyung
authors.initials: DK
authors.lastname: Bae
authors.forename: Hee Sun
authors.initials: HS
authors.lastname: Kim
authors.forename: Sang Jun
authors.initials: SJ
authors.lastname: Song
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy; D002648:Child; D005260:Female; D006395:Hemarthrosis / Q000209:etiology / Q000601:surgery*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D016059:Range of Motion, Articular; D000074402:Synovectomy; D016896:Treatment Outcome