Synovectomy or total replacement of the knee in hemophilia.

McCollough, Newton C.; Enis, Jerry E.; Lovitt, J; Lian, Evan; Niemann, K. Olaf; Loughlin, E C

doi:10.2106/00004623-197961010-00013

Cited by 66 publications

(38 citation statements)

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“…Joint-related hemorrhage was abolished. This is in agreement with previous reports (McCollough et al 1979, Goldberg et al 1981, Lachiewicz et al 1985, Augereau et al 1987. Thus, knee arthroplasty offers excellent relief of pain.…”

Section: Resu I Tssupporting

confidence: 94%

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Knee arthroplasty in hemophilia: 5–12 year follow-up of 15 patients

Teigland¹,

Tjønnfjord

Evensen

et al. 1993

Acta Orthopaedica Scandinavica

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Section: Resu I Tssupporting

confidence: 94%

“…On the other hand, no improvement in range of motion was demonstrated in our patients. Our experience is not unique (McCollough et al 1979, Goldberg et al 1981, Beeton et al 1992. Encouraging, however, was the finding of correction of the preoperative flexion contracture in all patients.…”

Section: Resu I Tsmentioning

confidence: 57%

Knee arthroplasty in hemophilia: 5–12 year follow-up of 15 patients

Teigland¹,

Tjønnfjord

Evensen

et al. 1993

Acta Orthopaedica Scandinavica

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“…He reported improvement in joint function and a significant decrease in the number of recurrent haemarthroses. But Storti [15,16] and other authors [3,5,8,9,11,13] have also stated that despite the reduced frequency of haemarthroses, the procedure caused loss of joint motion.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic synovectomy in haemophilic arthropathy of the knee

Yoon

Bae

Kim

et al. 2005

International Orthopaedics (SICOT)

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From January 1996 to January 2001, arthroscopic synovectomies were performed in 28 knees with haemophilic arthropathy. The mean follow-up period was 5 years and 11 months. Six portals (two anterior, two suprapatellar, two posterior) and a posterior trans-septal portal were used in all cases. The average Hospital for Special Surgery (HSS) knee score increased from 56.4 to 71.5 points at the last follow-up. The average frequency of haemarthrosis reduced from five times per month before operation to once per month. The amount of factor replacement decreased from a mean of 4,633 U to 1,505 U. Progression of arthritis was observed radiographically in three cases at the last follow-up. An arthroscopic synovectomy of the knee using appropriate arthroscopic portals is a useful method in treating haemophilic patients as it decreases bleeding episodes, amount of factor replacement and knee pain.Résumé De janvier 1996 à janvier 2001, des synovectomies arthroscopiques ont été exécutées dans 28 genoux avec une arthropathie hémophilique. Le suivi moyen était 5 années et 11 mois. Six abords (deux antérieurs, deux suprarotuliens, deux postérieurs) et un abord trans-septal postér-ieur ont été utilisé dans tous les cas. Le score moyen du genou de l'Hôpital pour Chirurgie Spéciale (HSS) a augmenté de 56,4 à 71,5 points au dernier examen. La fré-quence moyenne d'hémarthrose s'est réduite de cinq fois par mois avant l'opération à une fois par mois aprés. La quantité moyenne de remplacement de facteur a diminué de 4,633 à 1,505 unités. Dans l'évaluation radiographique, la progression de l'arthrite a été observée dans trois cas au dernier suivi. Une synovectomie arthroscopique du genou qui utilise des abords arthroscopiques appropriés est une méthode utile pour traiter les malades hémophiliques, diminuant les épisodes de saignement, la quantité de facteur et les douleurs du genou.

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“…Synovectomy of the knee reduces haemarthroses both mechanically and biochemically [1,6,7,9,10]. Factors which can contribute to the effectiveness of synovectomy in reducing bleeding episodes include the age of the patient at the time of operation, the degree of Factor VIII deficiency, the radiographic stage, and the completeness of…”

Section: Discussionmentioning

confidence: 99%

“…The technique was reported to be effective in halting bleeding episodes but at the expense of significant loss of movement [1,3,6,7,9,11]. Arthroscopic synovectomy has only recently been used [2,4,5,13].…”

Section: Introductionmentioning

confidence: 99%

Surgical synovectomy in haemophilic arthropathy of the knee

Merchan

Galindo

Ladreda

et al. 1994

International Orthopaedics

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Twenty seven patients with haemophilia who had repeated haemarthroses affecting the knee joint, despite appropriate substitution therapy, were treated by surgical synovectomy. Open operations were carried out on 18 and 9 had an arthroscopic procedure. The average age at the time of synovectomy was 13 years for both the open and arthroscopic groups. The open group was followed up for an average of 15.2 years and the closed for 5.4 years. Operation took 70 minutes on average in the arthroscopic group and 50 minutes in the open. Patients who had an arthroscopy were in hospital for an average of 5 days and those with an open operation for 10. Synovectomy by both methods significantly reduced bleeding episodes. The results were assessed according to the classification recommended by the Orthopaedic Advisory Committee of the World Federation of Haemophilia. In the open group 2 patients had a good result, 10 were fair and 6 poor; in the arthroscopic group 3 had a good result, 5 were fair and 1 poor. Both operations appeared to slow, but did not halt, the radiographic deterioration of the joints.

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Synovectomy or total replacement of the knee in hemophilia.

Cited by 66 publications

References 0 publications

Knee arthroplasty in hemophilia: 5–12 year follow-up of 15 patients

Knee arthroplasty in hemophilia: 5–12 year follow-up of 15 patients

Arthroscopic synovectomy in haemophilic arthropathy of the knee

Surgical synovectomy in haemophilic arthropathy of the knee

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