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. 2002;26(2):89-91.
doi: 10.1007/s00264-002-0331-y.

Total knee arthroplasty in patients with severe haemophilia

Affiliations

Total knee arthroplasty in patients with severe haemophilia

M Fehily et al. Int Orthop. 2002.

Abstract

We reviewed the perioperative records of haemophiliac patients who underwent total knee replacement (TKR) over the period 1990-1999 and followed up the surviving patients. Nine knees were replaced in eight patients. Seven of the nine patients did not require blood transfusion. Mean perioperative haemoglobin drop was 2.9 g/dl. There were no significant complications. All surviving patients (eight TKRs) were reviewed clinically using a standard scoring system. The mean follow-up period was 51 months. All patients scored excellent (>90/100) in the functional category. The frequency of haemarthroses fell significantly from the rate experienced prior to TKR, and pain scores were zero.

Nous avons examiné les dossiers périopératoire de malades hémophiles qui ont subi une arthroplastie de genou sur la période 1990–1999, et avons suivi les malades survivant . Neuf genoux ont été remplacés chez huit malades. Sept des neuf arthroplasties n'ont pas exigé de transfusion de sang. Le taux moyen d'hémoglobine périopératoire était 2.9 g/dl. Il n'y avait pas de complications notables. Tous les patients survivant (8 arthroplasties) ont été examiné, en utilisant un système de score standard. Le suivi moyen était 51 mois. Tous les malades ont un score fonctionnel excellent (>90/100) . La fréquence des hémarthroses a considérablement diminué et les scores de la douleur étaient nuls.

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