Total joint arthroplasty: the final solution for knee and hip when synovitis could not be controlled
E. C. RODRIGUEZ-MERCHAN,
E. C. RODRIGUEZ-MERCHAN
Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
Search for more papers by this authorE. C. RODRIGUEZ-MERCHAN,
E. C. RODRIGUEZ-MERCHAN
Department of Orthopaedics and Haemophilia Unit, La Paz University Hospital, Madrid, Spain
Search for more papers by this authorProf Rodriguez-Merchan, Capitan Blanco Argibay 21, 28029-Madrid, Spain. Tel.: +34 91 571 2871; fax: +34 91 571 28 71; e-mail: [email protected]
R.C.R-M. declares no conflict of interests.
Abstract
Summary. In severely affected haemophilic patients knee and hip arthropathy is a common problem, which can leads to considerable pain and functional deficit. Surgical management, including total knee and hip arthroplasty, can be undertaken if conservative management fails. This paper reviews the functional outcome of arthroplasty in the knee and hip, the postoperative and long-term complications, and the impact of HIV. Although complications are commonly described and the surgery is technically demanding, the results of the author of this paper and the review of the literature suggest that arthroplasty of the hip and knee can be a valuable option in the management of severe haemophilic arthropathy.
References
- 1 York J. Musculoskeletal disorders in the haemophilias. Baillieres Clin Rheumatol 1991; 5: 197–220.
- 2 Rodriguez-Merchan EC. Effects of haemophilia on articulations of children and adults. Clin Orthop Relat Res 1996; 328: 7–13.
- 3 Luck J, Kasper C. Surgical management of advanced hemophilic arthropathy. Clin Orthop Relat Res 1989; 242: 60–82.
- 4 Post M, Telfer M. Surgery in hemophilic patients. J Bone Joint Surg (Am) 1975; 57-A: 1136–45.
- 5 Marmor L. Total knee replacement in haemophilia. Clin Orthop Relat Res 1977; 125: 192–5.
- 6 McCollough N, Enis J, Lovitt J, Lian E, Niemann K, Loughlin E. Synovectomy or total replacement of the knee in haemophilia. J Bone Joint Surg (Am) 1979; 61-A: 69–75.
- 7
Lachiewicz PF,
Inglis AE,
Insall JN,
Sculco TP,
Hilgartner MW,
Bussel JB.
Total knee arthroplasty in hemophilia.
J Bone Joint Surg (Am)
1985; 67-A: 1361–6.
10.2106/00004623-198567090-00009 Google Scholar
- 8 Goldberg V, Heiple K, Ratnoff O, Kurczynski E, Arvan G. Total knee arthroplasty in classic hemophilia. J Bone Joint Surg (Am) 1981; 63-A: 695–701.
- 9 Figgie M, Goldberg V, Figgie H, Heiple K, Sobel M. Total knee arthroplasty for the treatment of chronic hemophilic arthropathy. Clin Orthop Relat Res 1989; 248: 98–107.
- 10 Insall J, Ranawat C, Aglietti P, Shine J. A comparison of four models of total knee-replacement prostheses. J Bone Joint Surg (Am) 1976; 58-A: 754–65.
- 11 Kjaersgaard-Andersen P, Christiansen S, Ingerslev J, Sneppen O. Total knee arthroplasty in classic hemophilia. Clin Orthop Relat Res 1990; 256: 137–45.
- 12 Magone J, Dennis D, Weis L. Total knee arthroplasty in chronic hemophilic arthropathy. Orthopaedics 1986; 9: 653–7.
- 13 Karthaus R, Novakova I. Total knee replacement in haemophilic arthropathy. J Bone Joint Surg (Br) 1988; 70-B: 382–5.
- 14 Heeg M, Meyer K, Smid W, Van Horn J, Van der Meer J. Total knee and hip arthroplasty in haemophilic patients. Haemophilia 1998; 4: 747–51.
- 15 Wiedel JD, Luck JV, Gilbert MS. Total knee arthroplasty in the patient with haemophilia: evaluation and long-term results. In MS Gilbert, WB Greene, eds. Musculoskeletal Problems in Hemophilia. New York: National Hemophilia Foundation, 1989: 152–7.
- 16 Teigland J, Tjonnfjord G, Evensen S, Charania B. Knee arthroplasty in hemophilia. Acta Orthop Scand 1993; 64: 153–6.
- 17 Unger A, Kessler C, Lewis R. Total knee arthroplasty in human immunodeficiency virus-infected hemophiliacs. J Arthroplasty 1995; 10: 448–52.
- 18 Rodriguez-Merchan EC. Total knee arthroplasty in patients with haemophilia who are HIV-positive. J Bone Joint Surg (Br) 2002; 84-B: 170–2.
- 19 Cohen I, Heim M, Martinowitz U, Chechick A. Orthopaedic outcome of total knee replacement in haemophilia A. Haemophilia 2000; 6: 104–9.
- 20 Rana N, Shapiro G, Green D. Long term follow up of prosthetic joint replacement in haemophilia. Am J Haematol 1986; 23: 329–37.
- 21 Surace A, Pietrogrande V. Total replacement of knee and elbow in haemophilia: three cases. Int Surg 1983; 68: 85–8.
- 22 Johnson R, Babbitt D. Five stages of joint disintegration compared with range of motion in haemophilia. Clin Orthop Relat Res 1985; 201: 36–42.
- 23 Greene W, DeGnore L, White G. Orthopaedic procedures and prognosis in hemophilic patients who are seropositive for human immunodeficiency virus. J Bone Joint Surgery (Am) 1990; 72-A: 2–11.
- 24 Gregg-Smith S, Pattison R, Dodd C, Giangrande P, Duthie R. Septic arthritis in haemophilia. J Bone Joint Surgery (Br) 1993; 75-B: 368–70.
- 25 Birch NC, Ribbans WJ, Goldman E et al. Letter. Knee replacement in haemophilia J Bone Joint Surg (Br) 1994; 76-B: 165–6.
- 26 Phillips AM, Sabin CA, Ribbans WJ, Lee CA. Orthopaedic surgery in haemophilic patients with human immunodeficiency virus. Clin Orthop Relat Res 1997; 343: 81–7.
- 27 Gilbert M. Hemophilia: the changing role of the orthopedic surgeon in the era of HIV infection. Southeast Asian J Trop Med Public Health 1993; 24(Suppl. 1): 30–3.
- 28 Löfqvist T, Nilsson I, Petersson C. Orthopaedic surgery in haemophilia. Clin Orthop Relat Res 1996; 332: 232–41.
- 29 Ragni MV, Crossett LS, Herndorn JH. Postoperative infection following orthopaedic surgery in human immunodeficiency virus-infected hemophiliacs with CD4 counts <200/mm3. J Arthroplasty 1995; 10: 716–21.
- 30 Kelley SS, Lachiewicz PF, Gilbert MS, Bolander ME, Jankiewicz JJ. Hip arthroplasty in hemophilic arthropathy. J Bone Joint Surg (Am) 1995; 77-A: 823–34.
- 31 Rodriguez-Merchan EC. Total knee replacement in haemophilic arthropathy. J Bone Joint Surg Br 2007; 89-B: 186–8.
- 32 Bellingham A, Fletcher D, Kirwan E, Prankerd T, Cleghorn T. Hip arthroplasty in a haemophiliac and subsequent prophylactic therapy with cryoprecipitate. Br Med J 1967; 4: 531–2.
- 33 Nelson IW, Sivamurugan S, Latham PD, Matthews J, Bulstrode CJK. Total hip arthroplasty for hemophilic arthropathy. Clin Orthop Relat Res 1992; 276: 210–3.
- 34 Gilchrist G, Hagedorn A, Stauffer R. Severe degenerative joint disease. Mild and moderately severe haemophilia A. JAMA 1977; 238: 2383–5.
- 35 Willert H, Horrig C, Ewald W, Scharrer I. Orthopaedic surgery in haemophilic patients. Arch Orthop Trauma Surg 1983; 101: 121–32.
- 36 Löfqvist T, Sanzen L, Petersson C, Nilsson I. Total hip replacement in patients with hemophilia. Acta Orthop Scand 1996; 67: 321–4.
- 37 Peterson M, Wesley Farr R, Castiglia M. Prosthetic hip infection and bacteremia due to Campylobacter jejuni in a patient with AIDS. Clin Infect Dis 1993; 16: 439–40.
- 38 Strathy GM, Fitzgerald RH. Total hip arthroplasty in the ankylosed hip. J Bone Joint Surg (Am) 1988; 70-A: 963–6.
- 39 Kilgus DJ, Amstutz HC, Wolgin MA, Dorey FJ. Joint replacement for ankylosed hips. J Bone Joint Surg (Am) 1990; 72-A: 45–54.
- 40 Rodriguez-Merchan EC, Blanco M, Sanjurjo MJ, Magallon M. Joint replacement for a spontaneously ankylosed hip in a haemophilic patient. Haemophilia 1999; 5: 69–72.
- 41
Rodriguez-Merchan EC,
Riera JA,
Wiedel JD.
Total hip replacement in the haemophilic patient. In: EC Rodriguez-Merchan, ed. The Haemophilic Joints. New Perspectives. Oxford: Blackwell, 2003: 111–5.
10.1002/9780470986929 Google Scholar
- 42 Rodriguez-Merchan EC, Miles J, Goddard NJ. Total Hip Arthroplasty in the Haemophilic Hip. Proceedings of the 16th International Course on Reconstructive Surgery of the Joints. Madrid, Spain, 14–17 March. 2007: 179–84.
- 43 Miller R, Beeton K, Goldman E, Ribbans W. Counselling guidelines for managing musculoskeletal problems in haemophilia in the 1990s. Haemophilia 1997; 3: 9–13.
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