Fig. 9.1 Arthroscopic debridement of the ankle in a patient with advanced hemophilic arthropathy: preoperative lateral radiograph (a). Traction device used for the procedure (b). Anteromedial and anterolateral portals used…

Fig. 10.1 Hemophilic pseudotumor opened after surgical resection 10.4 Clinical Presentation and Diagnosis Patients present with painless palpable masses or with painful crises due to episodic acute bleeding into the…

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-…

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,…

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…

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…

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…

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…

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…

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…