title: Total Hip Arthroplasty in Haemophilic Patients with Modern Cementless Implants.
abstract: Hip arthropathy due to recurrent haemarthrosis in patients with haemophilia can be disabling. When severe degeneration occurs, total hip arthroplasty is indicated. Reported outcomes are variable and out of date. The aim of this study is to evaluate the survivorship of Total Hip Arthroplasty performed in a patient population with modern cementless implants. Twenty-three haemophilic patients were treated and followed by a multidisciplinary team dedicated to haemophilia. The mean age was 40.6 years. No failures or complications were recorded at a mean follow-up of 8.1 years (range: 3.1-13.7). A multidisciplinary team and the use of modern cementless implants may represent the keys to achieve good outcomes, fewer complications, and better survivorship in the approach to these difficult cases.
authors.affiliation: Orthopaedic Clinic, University of Florence, Florence, Italy.
authors.forename: Christian
authors.initials: C
authors.lastname: Carulli
authors.affiliation: Orthopaedic Clinic, University of Florence, Florence, Italy.
authors.forename: Irene
authors.initials: I
authors.lastname: Felici
authors.affiliation: Orthopaedic Clinic, University of Florence, Florence, Italy.
authors.forename: Caterina
authors.initials: C
authors.lastname: Martini
authors.affiliation: Orthopaedic Clinic, University of Florence, Florence, Italy.
authors.forename: Roberto
authors.initials: R
authors.lastname: Civinini
authors.affiliation: Agency for Haemophilia and Inherited Blood Disorders, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Linari
authors.affiliation: Agency for Haemophilia and Inherited Blood Disorders, Azienda Ospedaliera Universitaria Careggi, Florence, Italy.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Castaman
authors.affiliation: Orthopaedic Clinic, University of Florence, Florence, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Innocenti
mesh_terms: D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000706:statistics & numerical data*; D006395:Hemarthrosis / Q000209:etiology / Q000601:surgery*; D006467:Hemophilia A / Q000150:complications*; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: cementless implants; haemophilia; hip arthroplasty