Knee Surgery in Hemophilia
Fig. 8.1 Clinical image of intense chronic synovitis in a young hemophiliac patient. The problem was treated by radiosynovectomy with Yttrium-90 In general, it is recommendable to perform a nonsurgical…
Advanced Hemophilic Arthropathy of the Ankle: Total Ankle Replacement or Ankle Fusion?
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…
Articular Pseudotumors and Bone Cysts in the Adult Hemophilic Patient
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…
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-…
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,…
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…
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…
