The aim of this article is to perform a review of the literature on the current status of shoulder arthroplasty in people with hemophilia (PWH). A search was conducted in PubMed on December 8, 2024, using the keywords "hemophilia" and "shoulder arthroplasty." To date only 4 articles (84 shoulder arthroplasties) in PWH have been published. A recent study with level 3 of evidence has found that five-year implant survival was similar in PWH (97.3%) than in matched controls (95.2%) suggesting that total shoulder arthroplasty (TSA) survivorship endures lasting and might be proposed to PWH. However, the high risks of both 90-day bleeding complication and venous thromboembolism (VTE) in PWH stressed the special dares of scrupulously weighing factor replacement and VTE prophylaxis pre-, intra, and postoperatively on an individual patient basis with cautious hematologist coordination.
机构:
Univ Utah, Dept Orthopaed Surg, 590 Wakara Way, Salt Lake City, UT 84108 USAUniv Utah, Dept Orthopaed Surg, 590 Wakara Way, Salt Lake City, UT 84108 USA
Tashjian, Robert Z.
Chalmers, Peter N.
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机构:
Univ Utah, Dept Orthopaed Surg, 590 Wakara Way, Salt Lake City, UT 84108 USAUniv Utah, Dept Orthopaed Surg, 590 Wakara Way, Salt Lake City, UT 84108 USA