Our experience with orthopedic surgery in hemophiliacs
Introduction: Patients having severe hemophilia (levels of deficient factor below 1%) frequently suffer from disabling chronic arthropathy. An adequate substitution treatment using the coagulation factor VIII or IX concentrates renders an elective surgery feasible. Objective: The objective of the st...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2006-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2006/0370-81790604143P.pdf |
| _version_ | 1818864793394610176 |
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| author | Poenaru Dan V. Serban Margit Branea Ioan L. Patrascu Jenel M. |
| author_facet | Poenaru Dan V. Serban Margit Branea Ioan L. Patrascu Jenel M. |
| author_sort | Poenaru Dan V. |
| collection | DOAJ |
| description | Introduction: Patients having severe hemophilia (levels of deficient factor below 1%) frequently suffer from disabling chronic arthropathy. An adequate substitution treatment using the coagulation factor VIII or IX concentrates renders an elective surgery feasible. Objective: The objective of the study was to check the results of different surgical procedures in the treatment of hemophilic arthropathies, and to propose the best protocol of their treatment. Methods: This is a retrospective study on 26 hemophilic patients operated in the Orthopedics and Trauma Clinic II, Timisoara, from 2002 to 2005. Elective surgical procedures were mainly performed in the knee (21 arthroscopic procedures, 1 open arthrodesis), elbow (2 open synovectomies, 2 radial head excisions), ankle (1 arthroscopic synovectomy and debridement) and thigh (1 giant pseudo tumor excision, other minor procedures). The results after operations on moderate and severe chronic knee, elbow and ankle arthropathy were evaluated, with approximately 24-month follow-up period. Results: Arthroscopic procedures (22) yielded good and satisfactory results with significant improvement according to the evaluation criteria recommended by the World Hemophilia Federation (Gilbert clinical score, Pettersson radiological score, NUSS MRI score). Conclusion: Mini-invasive elective surgery in moderate to severe chronic arthropathy produces good results when performed in a specialized center and with multi-disciplinary approach. |
| first_indexed | 2024-12-19T10:37:18Z |
| format | Article |
| id | doaj.art-a42e5a34f1df4b9eb11a800c236c66e9 |
| institution | Directory Open Access Journal |
| issn | 0370-8179 |
| language | English |
| last_indexed | 2024-12-19T10:37:18Z |
| publishDate | 2006-01-01 |
| publisher | Serbian Medical Society |
| record_format | Article |
| series | Srpski Arhiv za Celokupno Lekarstvo |
| spelling | doaj.art-a42e5a34f1df4b9eb11a800c236c66e92022-12-21T20:25:34ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792006-01-011343-414315010.2298/SARH0604143POur experience with orthopedic surgery in hemophiliacsPoenaru Dan V.Serban MargitBranea Ioan L.Patrascu Jenel M.Introduction: Patients having severe hemophilia (levels of deficient factor below 1%) frequently suffer from disabling chronic arthropathy. An adequate substitution treatment using the coagulation factor VIII or IX concentrates renders an elective surgery feasible. Objective: The objective of the study was to check the results of different surgical procedures in the treatment of hemophilic arthropathies, and to propose the best protocol of their treatment. Methods: This is a retrospective study on 26 hemophilic patients operated in the Orthopedics and Trauma Clinic II, Timisoara, from 2002 to 2005. Elective surgical procedures were mainly performed in the knee (21 arthroscopic procedures, 1 open arthrodesis), elbow (2 open synovectomies, 2 radial head excisions), ankle (1 arthroscopic synovectomy and debridement) and thigh (1 giant pseudo tumor excision, other minor procedures). The results after operations on moderate and severe chronic knee, elbow and ankle arthropathy were evaluated, with approximately 24-month follow-up period. Results: Arthroscopic procedures (22) yielded good and satisfactory results with significant improvement according to the evaluation criteria recommended by the World Hemophilia Federation (Gilbert clinical score, Pettersson radiological score, NUSS MRI score). Conclusion: Mini-invasive elective surgery in moderate to severe chronic arthropathy produces good results when performed in a specialized center and with multi-disciplinary approach.http://www.doiserbia.nb.rs/img/doi/0370-8179/2006/0370-81790604143P.pdfhemophiliakneesynovectomyarthroscopychronic arthropathy |
| spellingShingle | Poenaru Dan V. Serban Margit Branea Ioan L. Patrascu Jenel M. Our experience with orthopedic surgery in hemophiliacs Srpski Arhiv za Celokupno Lekarstvo hemophilia knee synovectomy arthroscopy chronic arthropathy |
| title | Our experience with orthopedic surgery in hemophiliacs |
| title_full | Our experience with orthopedic surgery in hemophiliacs |
| title_fullStr | Our experience with orthopedic surgery in hemophiliacs |
| title_full_unstemmed | Our experience with orthopedic surgery in hemophiliacs |
| title_short | Our experience with orthopedic surgery in hemophiliacs |
| title_sort | our experience with orthopedic surgery in hemophiliacs |
| topic | hemophilia knee synovectomy arthroscopy chronic arthropathy |
| url | http://www.doiserbia.nb.rs/img/doi/0370-8179/2006/0370-81790604143P.pdf |
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