title: Vicious cycle of multiple invasive treatments in a hemophilic inhibitor positive child with resistant knee flexion contracture, a case report.
abstract: Uncontrolled recurrent hemarthrosis can end to contracture, deformity, pain, joint destruction and gait disorders which are disabling. We are going to report a challenge, a unilateral knee flexion contracture in a child with severe hemophilia A and inhibitor who underwent different treatment options with unsatisfactory improvement of knee range of motion. Mismanaging postoperatively, patient and parents irresponsibility in managing self-care, lack of access and affordability to treatment and unavailability of proper treatment can be the reasons of recurrence in addition to the tough nature of a patient with inhibitor.
authors.affiliation: Amir Reza Kachooei MD, Department of Orthopedic Surgery Massachusetts General Hospital, 55 Fruit Street Boston, MA, 02114 USA.
authors.forename: Amir Reza
authors.initials: AR
authors.lastname: Kachooei
authors.affiliation: Amir Reza Kachooei MD, Department of Orthopedic Surgery Massachusetts General Hospital, 55 Fruit Street Boston, MA, 02114 USA.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Badiei
authors.affiliation: Amir Reza Kachooei MD, Department of Orthopedic Surgery Massachusetts General Hospital, 55 Fruit Street Boston, MA, 02114 USA.
authors.forename: Mohammad E
authors.initials: ME
authors.lastname: Zandinezhad
keywords: Arthroscopy; Hemophilia A; Inhibitor; Knee flexion contracture; Manipulation under anesthesia; Radiosynovectomy; Supracondylar fracture