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:
Columbia Univ, Dept Orthoped Surg, Ctr Shoulder Elbow & Sports Med, New York, NY 10027 USAColumbia Univ, Dept Orthoped Surg, Ctr Shoulder Elbow & Sports Med, New York, NY 10027 USA
Kim, H. M.
Byram, I. R.
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机构:
Columbia Univ, Dept Orthoped Surg, Ctr Shoulder Elbow & Sports Med, New York, NY 10027 USAColumbia Univ, Dept Orthoped Surg, Ctr Shoulder Elbow & Sports Med, New York, NY 10027 USA
Byram, I. R.
Mclaughlin, G. S.
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Columbia Univ, Dept Orthoped Surg, Ctr Shoulder Elbow & Sports Med, New York, NY 10027 USAColumbia Univ, Dept Orthoped Surg, Ctr Shoulder Elbow & Sports Med, New York, NY 10027 USA
Mclaughlin, G. S.
Bigliani, L. U.
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Columbia Univ, Dept Orthoped Surg, Ctr Shoulder Elbow & Sports Med, New York, NY 10027 USAColumbia Univ, Dept Orthoped Surg, Ctr Shoulder Elbow & Sports Med, New York, NY 10027 USA