Management of arthrofibrosis in haemophilic arthropathy.
Hemophilic arthropathy is one of the conditions most associated with arthrofibrosis and loss of range of motion. Progressive fibrosis of synovium leads to pain, spasm, and shortening of muscles, resulting in joint contractures and restriction of joint motion. It is common to see even young children with severe loss of motion of elbows, knees and ankles. Treatment should be primarily by physiotherapy, splintage, and corrective devices. The late or severe cases may require surgical correction in the form of soft-tissue procedures, osteotomy and especially joint replacement.
Solimeno
L
L
Department of Orthopedic Surgery, Angelo Bianchi Bonomi Hemophilia Centre, IRCCS Ca' Granda Maggiore Hospital Foundation, Milan, Italy. lugi@solimeno.net
Goddard
N
N
Pasta
G
G
Mohanty
S
S
Mortazavi
S
S
Pacheco
L
L
Sohail
T
T
Luck
J
J
D000328:Adult; D019645:Arthroplasty, Replacement, Knee; D002648:Child; D003286:Contracture / Q000209:etiology* / Q000601:surgery / Q000628:therapy*; D005269:Femur / Q000601:surgery; D005355:Fibrosis / Q000209:etiology* / Q000601:surgery / Q000628:therapy*; D006395:Hemarthrosis / Q000517:prevention & control; D006467:Hemophilia A / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D007592:Joint Diseases / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D010027:Osteotomy / Q000379:methods; D011182:Postoperative Care; D013583:Synovial Membrane / Q000473:pathology*