Outcomes of Total Knee Arthroplasty in Patients with Bleeding Disorders

Ortopedia, traumatologia, rehabilitacja
Jakub SzmydPaweł Kamiński

Abstract

Advanced haemophilic arthropathy is a possible complication in patients with congenital bleeding disor-ders. This study aimed to assess treatment outcomes after primary total knee arthroplasty in this group of patients. A total of 60 primary total knee arthroplasties were performed in the period 2011-2014. The study ultimately included 40 knee replacements in 35 patients. The average follow-up period was 19.4 months (max. 32, min. 12), with patients followed up for a period shorter than 12 months excluded from the study. The average age of the patients was 36.7 years (min. 27, max. 72). Types of inherited bleeding disor-ders among the study population were as fol-lows: 82% with haemophilia A, 15% with haemophilia B and 1% with Von Willebrand disease. Pain intensity was assessed before the surgery and at a 12-month follow-up visit using VAS. The patients completed the OKS and WOMAC question-naires before the surgery and at the 12-month follow-up visit. Functional evaluation of the patients was performed using KSS before the TKA and 12 months after the knee replacement surgery. The pain intensity was considerably reduced 12 months after the surgery. VAS scores averaged 7.4 pts (SD 1.6) before TKA and 1.6 pts (SD 1.7) after the su...Continue Reading

Citations

Apr 2, 2019·Expert Review of Hematology·E Carlos Rodriguez-Merchan
Jan 19, 2022·Expert Review of Hematology·E Carlos Rodriguez-MerchanVictor Jimenez-Yuste

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