[Total knee replacement in haemophilic arthropathy. A clinical and radiological evaluation of 30 patients].
Purpose of this retrospective study was to evaluate our own results after total knee replacement in patients with haemophilia. Patients, material, method: 30 patients with haemophilia who underwent total knee replacement between 1987 and 2005 were included. We used the clinical and radiological Knee Society Score. Furthermore, the Petterson and the Arnold and Hilgartner score were applied.


RESULTS
The mean age at the time of surgery was 43.2 (27-66). At the time of follow-up examination the mean age was 51.6 (30-82) years. The mean follow-up was 7.1 (2-20) years. Preoperative, he mean Arnold and Hilgartner score was 4.17 (±0.59) and the mean Petterson-Score was 9±2.29. Compared to the preoperative deficiency in knee function (KSS-Score 88.17±33.58) an improvement with 166.67 (±22.73) points was seen. 1 patient showed an aseptic loosening after 11 years.


CONCLUSIONS
Total knee replacement in patients with haemophilia improves knee function and quality of life. The results of our study represent results in earlier published studies. Compared to a non-haemophilic normal population the rate of perioperative complications was not increased.
Klinik für Orthopädie und Orthopädische Chirurgie, Universitätsmedizin Mainz, Langenbeckstraße 1, 55131 Mainz. habermann@orthopaedie.klinik.uni-mainz.de
B
B
Habermann
W
W
Miesbach
L M
LM
Sahner
A
A
Kurth
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001177:Arthropathy, Neurogenic / Q000209:etiology / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005500:Follow-Up Studies; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies