Joint Function and Arthropathy Severity in Patients with Hemophilia.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

16. Ital J Orthop Traumatol. 1989 Dec;15(4):457-61. Arthroscopic synovectomy in the treatment of haemophilic arthropathy: preliminary results in eight patients. Poggini L(1), Chistolini A, Mariani G, Mariani PP. Author information: (1)1a Clinica Ortopedica, Università degli Studi La Sapienza, Roma. Synovectomy is a procedure which is widely used in the surgical treatment of haemophilic arthropathy: the short and long-term results have in fact sufficiently shown its effectiveness in the reduction of the number of cases of haemarthrosis. This operation, however, has the disadvantage of a reduction in joint mobility which may vary from 25% to 77%, depending on the various case series reported (Post et al., 1986; Clark, 1978; McCollough et al., 1979; Montane et al., 1986). This complication moreover, is common to all synovectomy operations, even those which are performed for synovial affections of a different nature. As the advantages of arthroscopic synovectomy as compared to open surgery are commonly known, it was decided to extend the indication to haemophilic arthropathy (Wiedel, 1985; Klein et al., 1987). The purpose of this study is to evaluate the effectiveness of arthroscopic synovectomy in 8 patients with type A haemophilia affected with severe arthropathy consequent to repeated haemarthrosis and with marked hypertrophic synovial tissue.