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30th Hemophilia Symposium Hamburg 1999 pp 65–70Cite as

Corrective Osteotomy of the Lower Extremity in Hemophilic Arthropathy of the Knee and Hip Joint

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Abstract

A physiologic leg axis depends upon a correct anatomic axis, a stable cartilage situation, and intact interrelation of muscle agonists and antagonists. Hemophilic arthropathy of the lower extremity disturbs muscle action and changes the anatomic axis, resulting in axis deviation mainly affecting the hip and knee [12]. The axis deviation is secondarily reinforced by cartilage insufficiency. Abnormal weight-bearing enhances the bleeding tendency in hemophiliacs and accelerates joint destruction as a result. By the same token, axis correction lowers the bleeding tendency [12, 26].

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Authors
  1. T. Wallny
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  2. H. H. Brackmann
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  3. L. Hess
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  4. H. Reich
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  5. A. Seuser
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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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Wallny, T., Brackmann, H.H., Hess, L., Reich, H., Seuser, A. (2001). Corrective Osteotomy of the Lower Extremity in Hemophilic Arthropathy of the Knee and Hip Joint. In: Scharrer, I., Schramm, W. (eds) 30th Hemophilia Symposium Hamburg 1999. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-18240-2_9

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  • DOI: https://doi.org/10.1007/978-3-642-18240-2_9

  • 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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