Intra-Articular Oxytetracycline for Synoviorthesis in the Treatment of Advanced Hemophilic Arthropathy

Abstract

Introduction: Hemophilia represents not a major case of consultation for the orthopedic surgeon; however, for the patient with hemophilic arthropathy, the condition may represent the major challenge regarding mobility and autonomy. Recurrent articular bleeding is a common cause of disability in the hemophilic patient, since joints suffering hemarthrosis follow an irreversible process of articular bleeding, joint erosion and degeneration, which reaches the end at premature arthrosis. In early stages, synovectomy is the treatment of choice to weaken the synovial tissue and prevent further bleeding.