Imaging of the Hemophilic Joints
Fig. 4.1 Anteroposterior (a) and lateral (b) lateral radiograph has to be turned 90º to the right, on the same way as a watch (arrows) One study assessing both intra-…
Pharmacoeconomics of Orthopedic Surgery in Hemophilia
Alternatives Costs (€) Results (QALY) Increase of costs Increase of QALYs Cost/effectiveness ratio (€/QALY) No treatment 0 0 200,000 10 20,000 Secondary prophylaxis 200,000 10 On-demand treatment 100,000 9 100,000…
Rehabilitation of Joint Surgery in Hemophiliacs
Fig. 12.1 Sixteen-year-old hemophilia patient with musculoskeletal impairment in several areas. Note the kyphoscoliosis, pelvic obliquity, arthropathy in both elbows and the left knee with reduced extension in these joints,…
The Analgesic Efficacy of a COX-2 Inhibitor (Oral Celecoxib) in Adult Hemophilic Patients and Intense Joint Pain Secondary to Advanced Hemophilic Arthropathy
Fig. 13.1 Advanced hemophilic elbow arthropathy in an adult hemophilic patient in our study who presented with intense joint pain Fig. 13.2 Knee from an adult hemophilic patient in our…
Hip Surgery in Hemophilia
Fig. 7.1 (a) Preoperative radiograph of a 49-year-old patient with hip hemophiliac arthropathy. An osteopenic acetabulum and a funnel-shaped femoral canal can be observed. (b) Radiograph of the same patient…
Anesthesia in Orthopedic Surgery of the Adult Hemophilia Patient
Severe grade Less 1 % factor Spontaneous bleeding <0.01 Ui/ml Joints and muscles Moderate grade 1–5 % factor Occasional spontaneous bleeding. 0.01–0.05 Ui/ml Bleeding with surgery or trauma Mild grade…
Orthopedic Surgery in Hemophilia: Is Thromboprophylaxis Necessary?
Fig. 11.1 Total knee replacement (TKR) in a patient with hemophilia. Pharmacological thromboprophylaxis was not used: anteroposterior preoperative radiograph (a). Intraoperative view (b). Anteroposterior postoperative radiograph (c). Lateral postoperative view…
Shoulder Surgery in Hemophilia
Fig. 5.1 Shoulder AP radiograph of a patient with pain and bleed episodes who has developed moderate degenerative changes with cysts in the humeral head and glenoid Fig. 5.2 Shoulder…
Musculoskeletal Manifestations of Hemophilia
Fig. 1.1 Irreversible flexion contracture of the knee, secondary to multiple hemarthroses. Note the posterior subluxation of the tibia associated with the problem Fig. 1.2 Clinical appearance of severe hemophilic…
Surgery of the Elbow in Hemophilia
Fig. 6.1 Anteroposterior (a) and lateral (b) radiograph of the elbow showing slightly decrease of the joint line width, subchondral cysts, and mild widening of the trochlear notch (corresponding to…
