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Long-Term Results After Total Knee and Total Hip Replacement in Hemophilic Arthropathy

  • Conference paper
30th Hemophilia Symposium Hamburg 1999

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Abstract

Severe hemorrhagic diatheses are complicated by spontaneous joint bleedings. The joint cartilage is damaged through the free intra-articular blood, probably caused by the formation of reactive oxygen metabolites which are catalyzed by iron [18]. Parallel inflammatory reactions occur in the synovial membrane and may lead to a secondary catabolic destruction of the cartilage [7, 12, 18]. This hemophilic arthropathy results in severe secondary arthrosis within a few years. The end stages of hemophilic arthropathy are characterized by severe cartilage destructions, deformities, and fibrous contractures. Especially in the lower extremities, this results in an early handicap. Therefore, timely diagnosis is necessary in cases with clinical and radiological progressive joint destructions.

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References

  1. Arnold WD, Hilgartner MW (1977) Hemophilic arthropathy. J Bone Joint Surg 59:287–305

    PubMed  CAS  Google Scholar 

  2. Charnley J (1972) The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg 54-B: 61–76

    Google Scholar 

  3. Figgie MP, Goldberg VM, Figgie HE, Heiple KG, Sobel M (1989) Total knee arthroplasty for the treatment of chronic hemophilic arthropathy. Clin Orthop 248: 98–107

    PubMed  Google Scholar 

  4. Gilbert MS (1993) Prophylaxis: Musculoskeletal Evaluation. Sem Hematology 30(Suppl 2): 3–6

    CAS  Google Scholar 

  5. Heeg M, Meyer K, Smid WM, Van Horn JR, van der Meer J (1998) Total knee and hip arthroplasty in haemophilic patients. Haemophilia 4: 747–751

    Article  PubMed  CAS  Google Scholar 

  6. Hovy L (1997): Indikation zu Gelenkersatz bei Hämophilie — Langzeitergebnisse. In: Scharrer I, Schramm W (Hrsg.) 26. Hämophilie-Symposium Hamburg 1995. Springer, Berlin, Heidelberg, New York, pp 75–80

    Google Scholar 

  7. Hovy L (1999) Diagnostik und Behandlung der Synovitis bei Hämophilen. In: Scharrer I, Schramm W (Hrsg.): 29. Hämophilie-Symposion 1998. Springer Verlag Berlin, Heidelberg pp 25–30

    Google Scholar 

  8. Kelley SS, Lachiewicz PF, Gilbert MS, Bolander ME, Jankiewicz JJ (1995) Hip Arthroplasty in Hemophilic Arthropathy. J Bone Joint Surg 77: 828–834

    PubMed  CAS  Google Scholar 

  9. Kjaersgaard-Ander son P, Christiansen SE, Ingerslev J, Sneppen O (1990) Total knee arthroplasty in classic hemophilia. Clin Orthop 256:137–146

    Google Scholar 

  10. Lachiewicz PF, Inglis AE, Insall JN, Sculco TP, Hilgartner MW, Bussel JB (1985) Total knee Arthroplasty in Hemophilia. J. Bone Joint Surg Vol. 67-A, 9:1361–1366

    Google Scholar 

  11. Luck JV, Kasper CK (1989) Surgical management of advanced hemophilic arthropathy. Clin Orthop 242: 60–82

    PubMed  Google Scholar 

  12. Mohr W ( 1993 ): Pathogenese der Arthropathie. In: Scharrer I, Schramm W ( Hrsg.): 23. Hämophilie-Symposion Hamburg 1992. Springer, Berlin, Heidelberg, New York: pp 83–94

    Google Scholar 

  13. Montane I, McCollough NC, Lian EC-J (1986) Synovectomy of the knee for hemophilic arthropathy. J Bone Joint Surg 68: 210–216

    PubMed  CAS  Google Scholar 

  14. Nelson W, Sivamurugan S, Latham PD, Mathews J, Bulstrode CJK (1992) Total Hip Arthroplasty for Hemophilic Arthropathy. Clin Orthop 276: 210–213

    PubMed  Google Scholar 

  15. Pettersson H, Ahlberg A, Nilsson IM (1980) A radiologic classification of hemophilic arthropathy. Clin Orthop 149: 153–159

    PubMed  Google Scholar 

  16. Philips AM, Sabin CA, Ribbans WJ, Lee CA (1997) Orthopaedic surgery in hemophilic patients with human immunodeficiency virus. Clin Orthop. 343: 81–87

    Google Scholar 

  17. Ranawat CS, Shine JJ (1973) Duocondylar total knee arthroplasty. Clin Orthop 94: 185–195

    PubMed  Google Scholar 

  18. Roosendaal G, van den Berg HM, Lafeber FPJ, Bijlsma J (1999): Pathologie der Synovitis und hämophilen Arthropathie. Orthopäde 28: 323–328

    PubMed  CAS  Google Scholar 

  19. Unger S, Kessler CM, Lewis RJ (1995) Total knee arthroplasty in human immunodeficiency virus-infected hemophiliacs. J of Arthroplasty Vol. 10 No 4: 448–452

    Article  CAS  Google Scholar 

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Authors
  1. L. Hovy
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  2. S. Müller
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  3. I. Scharrer
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Editor information

Editors and Affiliations

  1. Hemophilia Center, Dept. of Internal Medicine, University Hospital, Theodor-Stern-Kai 7, D-60590, Frankfurt am Main, Germany

    Inge Scharrer

  2. Dept. of Hemostasiology, University Hospital, Ziemssenstr. 1a, D-80336, München, Germany

    Wolfgang Schramm

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© 2001 Springer-Verlag Berlin Heidelberg

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Hovy, L., Müller, S., Scharrer, I. (2001). Long-Term Results After Total Knee and Total Hip Replacement in Hemophilic Arthropathy. In: Scharrer, I., Schramm, W. (eds) 30th Hemophilia Symposium Hamburg 1999. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18240-2_7

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  • DOI: https://doi.org/10.1007/978-3-642-18240-2_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-67677-5

  • Online ISBN: 978-3-642-18240-2

  • eBook Packages: Springer Book Archive

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