Abstract
Appropriate management of elbow problems in hemophilic patients includes coordinated care with an emphasis in adequate preventive measures. If conservative management of bleeding episodes fails, synovectomy, with or without radial head resection, decreases the number of bleeding episodes and improves function, specifically forearm rotation. Arthroplasty is reserved for the more advanced arthropathy cases that are willing to comply with postoperative restrictions, but it improves pain management and function at the cost of an increased rate of complications.
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References
Arnold WD, Hilgartner MW (1977) A radiologic classification of hemophiliac arthropathy: current concepts of pathogenesis and management. J Bone Joint Surg Am 59:287–305
Petterson HA, Nilsson LM (1980) A radiologic classification of hemophilic arthropathy. Clin Orthop Relat Res 149:153–159
Manco-Johnson MJ, Abshire TC, Shapiro AD, Riske B, Hacker MR, Kilcoyne R et al (2007) Prophylaxis versus episodic treatment to prevent joint disease in boys with severe hemophilia. N Engl J Med 357:535–544
Funk MB, Schmidt H, Becker S, Escuriola C, Klarmann D, Klingebiel T, Kreuz W (2002) Modified magnetic resonance imaging score compared with orthopaedic and radiological scores for the evaluation of haemophilic arthropathy. Haemophilia 8:98–103
Fischer K, van der Bom JG, Mauser-Bunschoten EP, Roosendaal G, Prejs R, de Kleijn P et al (2002) The effects of postponing prophylactic treatment on long-term outcome in patients with severe hemophilia. Blood 99:2337–2341
Kay L, Stainsby D, Buzzard B, Fearns M, Hamilton PJ, Owen P, Jones P (1981) The role of synovectomy in the management of recurrent haemarthroses in haemophilia. Br J Haematol 49:53–60
Post M, Watts G, Telfer M (1986) Synovectomy in hemophilic arthropathy. A retrospective review of 17 cases. Clin Orthop Relat Res 202:139–146
Rodriguez-Merchan EC (2013) Haemophilic synovitis of the elbow: radiosynovectomy, open synovectomy or arthroscopic synovectomy? Thromb Res 132:15–18
Verma N, Valentino LA, Chawla A (2007) Arthroscopic synovectomy in haemophilia: indications, technique and results. Haemophilia 13(Suppl 3):38–44
Le Balc’h T, Ebelin M, Laurian Y, Lambert T, Verroust F, Larrieu MJ (1987) Synovectomy of the elbow in young hemophilic patients. J Bone Joint Surg Am 69:264–269
Pietrogrande V, Dioguardi N, Mannucci PM (1972) Short-term evaluation of synovectomy in haemophilia. Br Med J 2:378–381
Smith MA, Savidge GF, Fountain EJ (1983) Interposition arthroplasty in the management of advanced haemophilic arthropathy of the elbow. J Bone Joint Surg (Br) 65:436–440
Butler-Manuel PA, Smith MA, Savidge GF (1990) Silastic interposition for haemophilic arthropathy of the elbow. J Bone Joint Surg (Br) 72:472–474
Wang K, Street A, Dowrick A, Liew S (2012) Clinical outcomes and patient satisfaction following total joint replacement in haemophilia–23-year experience in knees, hips and elbows. Haemophilia 18:86–93
Street DM, Stevens PS (1974) A humeral replacement prosthesis for the elbow: results in ten elbows. J Bone Joint Surg Am 56:1147–1158
Kamineni S, Adams RA, O’Driscoll SW, Morrey BF (2004) Hemophilic arthropathy of the elbow treated by total elbow replacement. A case series. J Bone Joint Surg Am 86-A:584–589
Chapman-Sheath PJ, Giangrande P, Carr AJ (2003) Arthroplasty of the elbow in haemophilia. J Bone Joint Surg (Br) 85:1138–1140
Marshall Brooks M, Tobase P, Karp S, Francis D, Fogarty PF (2011) Outcomes in total elbow arthroplasty in patients with haemophilia at the University of California, San Francisco: a retrospective review. Haemophilia 17:118–123
Sorbie C, Saunders G, Carson P, Hopman WM, Olney SJ, Sorbie J (2011) Long-term effectiveness of Sorbie-QUESTOR elbow arthroplasty: single surgeon’s series of 15 years. Orthopedics 34:e561–e569
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Barco-Laakso, R., Antuña, S., Rodríguez-Merchán, E.C. (2015). Surgery of the Elbow in Hemophilia. In: Rodríguez-Merchán, E. (eds) Joint Surgery in the Adult Patient with Hemophilia. Springer, Cham. https://doi.org/10.1007/978-3-319-10780-6_6
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DOI: https://doi.org/10.1007/978-3-319-10780-6_6
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