Total hip replacement in patients with severe bleeding disorders - A 30 years single center experience

被引:38
作者
Habermann, B.
Eberhardt, C.
Hovy, L.
Zichner, L.
Scharrer, I.
Kurth, A. A.
机构
[1] Univ Hosp Frankfurt Main, Dept Orthopaed Surg, D-60528 Frankfurt, Germany
[2] Univ Hosp Frankfurt Main, Haemostaseol Serv, Frankfurt, Germany
[3] Hoechst City Hosp, Dept Orthopaed Surg, Frankfurt, Germany
关键词
D O I
10.1007/s00264-006-0136-5
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Arthropathy of the hip is moderate in frequency in haemophiliac patients, but is less common than ankle, knee or elbow arthropathy. We report about our experience with total hip replacement in patients with severe bleeding disorders over a period of 30 years. Between July 1972 and 2002, 15 hips in 13 patients were replaced. The main bleeding disorders were Haemophilia A in ten patients and severe v. Willebrand disease in three patients. The mean follow-up was 132 months (range 12-363). We can demonstrate good long-term results, with only one aseptic loosening after 14 years and one septic loosening after 14 months in an HIV-positive patient. The Harris Hip Score increased from 48 points (32-66) preoperatively to 89 (76-100) postoperatively. In conclusion, total hip replacement performed in a specialised haemophiliac centre is a safe procedure, and results in pain relief and improvement of the quality of life in patients with severe bleeding disorders.
引用
收藏
页码:17 / 21
页数:5
相关论文
共 23 条
[1]   HEMOPHILIC ARTHROPATHY - CURRENT CONCEPTS OF PATHOGENESIS AND MANAGEMENT [J].
ARNOLD, WD ;
HILGARTNER, MW .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1977, 59 (03) :287-305
[2]  
Beeton K, 2000, HAEMOPHILIA, V6, P474
[3]   HIP ARTHROPLASTY IN A HAEMOPHILIAC AND SUBSEQUENT PROPHYLACTIC THERAPY WITH CRYOPRECIPITATE [J].
BELLINGHAM, A ;
FLETCHER, D ;
KIRWAN, EO ;
PRANKERD, TA ;
CLEGHORN, T .
BMJ-BRITISH MEDICAL JOURNAL, 1967, 4 (5578) :531-+
[4]  
Dzinaj T, 1996, THROMB HAEMOSTASIS, V76, P630
[5]   Health-related quality of life in total hip and total knee arthroplasty - A qualitative and systematic review of the literature [J].
Ethgen, O ;
Bruyere, O ;
Richy, F ;
Dardennes, C ;
Reginster, JY .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (05) :963-974
[6]  
FernandezPalazzi F, 1996, CLIN ORTHOP RELAT R, P14
[7]  
GILBERT MS, 1993, SEMIN HEMATOL, V30, P3
[9]   Total knee and hip arthroplasty in haemophilic patients [J].
Heeg, M ;
Meyer, K ;
Smid, WM ;
Van Horn, JR ;
Van der Meer, J .
HAEMOPHILIA, 1998, 4 (05) :747-751
[10]   Current treatment of hemophilic arthropathy [J].
Hilgartner, MW .
CURRENT OPINION IN PEDIATRICS, 2002, 14 (01) :46-49