Successful transfemoral prosthesis in a patient with haemophilia A and factor VIII inhibitors: A case report

Haemophilia A patients who develop factor VIII inhibitors pose a challenge with respect to bleeding and orthopaedic management. This is particularly relevant in cases requiring amputation. We present here a case of a patient with severe haemophilia A and inhibitors who had a history of multiple surg...

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Bibliographic Details
Main Authors: Ta-Chung Chao, Sheng-Hao Wang, Yeu-Chin Chen, Tsung-Ying Li
Format: Article
Language:English
Published: SAGE Publishing 2023-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605231195446
Description
Summary:Haemophilia A patients who develop factor VIII inhibitors pose a challenge with respect to bleeding and orthopaedic management. This is particularly relevant in cases requiring amputation. We present here a case of a patient with severe haemophilia A and inhibitors who had a history of multiple surgeries due to periprosthetic joint infection and a non-healing wound which led to above-knee amputation. Following the implementation of appropriate and suitable transfemoral prosthesis and emicizumab therapy, the patient experienced a significant improvement in mobility and quality of life without any adverse events or bleeding episodes. Additional studies are required to more fully understand treatment options for lower limb amputations in the haemophilia population.
ISSN:1473-2300