PMID: 6405722Jan 1, 1983Paper

Orthopaedic surgery in hemophilic patients

Archives of Orthopaedic and Trauma Surgery
H G WillertI Scharrer

Abstract

Since 1970 we performed 18 operations in hemophilic patients: 7 synovectomies, 2 elongations of the achilles-tendon, 1 hip arthrodesis, 2 endoprosthetic replacements of the hip, 2 intertrochanteric flexion- and varus-osteotomies, 1 excision of a pseudo-tumor and 2 removals of hematomas of the knee joint. The synovectomies were done only in joints affected by frequent hemorrhages. The bleeding frequency could be reduced considerably and the range of motion could be improved. The indication for several other orthopaedic procedures depended on the orthopaedic symptoms. The results were satisfactory without major complications during the healing period. During surgery and the following postoperative care the antihemophilic factor was substituted up to levels between 60 and 120%. The factor VIII or IX was controlled daily and Hb, GOT, GPT and the Australia antigen-antibody on a weekly base. The length of the substitution regimen was dependent on the individual wound healing and the postoperative treatment.

References

Jan 20, 1975·Annals of the New York Academy of Sciences·R B Duthie
May 7, 1976·Deutsche medizinische Wochenschrift·W SchwägerlK Lechner
Jan 1, 1974·European Journal of Applied Physiology and Occupational Physiology·A W TaylorS Rao
Feb 1, 1974·Journal of Pediatric Surgery·B Dyszy-LaubeE Ludert
Jan 1, 1969·Acta Haematologica·E StortiP G Davoli
May 13, 1972·British Medical Journal·V PietrograndeP M Mannucci
Dec 23, 1966·Deutsche medizinische Wochenschrift·J HerrmannW Lenz

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Citations

Jun 1, 1987·World Journal of Surgery·W J RudowskiJ M Ziemski
Sep 30, 2000·Haemophilia : the Official Journal of the World Federation of Hemophilia·K BeetonJ Alltree
May 16, 2009·Haemophilia : the Official Journal of the World Federation of Hemophilia·C HermansUNKNOWN European Haemophilia Therapy Standardisation Board
Sep 21, 2007·Haemophilia : the Official Journal of the World Federation of Hemophilia·M Z B ChoudhuryC A Lee
Oct 18, 2007·Haemophilia : the Official Journal of the World Federation of Hemophilia·E C Rodriguez-Merchan
Jul 1, 1996·Clinical Orthopaedics and Related Research·J D Wiedel

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