Article ; Online: Clinical outcomes and patient satisfaction following total hip and knee arthroplasty in patients with inherited bleeding disorders: A 20-year single-surgeon cohort.
Haemophilia : the official journal of the World Federation of Hemophilia
2018 Volume 24, Issue 5, Page(s) 786–791
Abstract: Introduction: Persons with haemophilia and other inherited bleeding disorders are prone to disabling joint arthropathy frequently requiring arthroplasty for end-stage joint disease. Higher complication rates and more modest post-operative functional ... ...
Abstract | Introduction: Persons with haemophilia and other inherited bleeding disorders are prone to disabling joint arthropathy frequently requiring arthroplasty for end-stage joint disease. Higher complication rates and more modest post-operative functional outcomes have previously been described. Aim: To evaluate the clinical outcomes and patient satisfaction of persons with inherited bleeding disorders (predominantly haemophilia) undergoing total hip and knee replacement. Methods: Retrospective, single-centre cohort study with longitudinal assessment of patients with inherited bleeding disorders who underwent total hip and knee replacement over a 20-year period. Eligible patients were clinically assessed with Harris Hip Score (HHS), Knee Society Score (KSS), pain visual analogue scale (VAS) and a patient satisfaction questionnaire. Results: Thirty-one patients (48 joints) met the inclusion criteria. Mean age at surgery was 49.3 years (SD: 13.1, range 21-75 years) with a mean follow-up of 9.33 years (1.7-19.3). The majority (26/31) of patients had haemophilia A, predominantly severe haemophilia A (22/26). Reported pain levels were low, and patient satisfaction was high. Joint-specific outcome scores were "good" to "excellent" in 67% of total hip replacement patients and 92% of total knee replacement patients. A low complication rate was observed, with 2 patients requiring revision surgery and 4 patients requiring re-operation without implant revision. Conclusion: Arthroplasty is a reliable procedure in patients with inherited bleeding disorders with end-stage hip or knee arthropathy. The overall complexity of this group is highlighted, and the need for multidisciplinary care is emphasised. |
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MeSH term(s) | Adult ; Aged ; Arthroplasty, Replacement, Hip/methods ; Arthroplasty, Replacement, Knee/methods ; Female ; Hemorrhage/complications ; Hemorrhage/pathology ; Humans ; Male ; Middle Aged ; Patient Satisfaction ; Quality of Life/psychology ; Treatment Outcome ; Young Adult |
Language | English |
Publishing date | 2018-07-19 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 1229713-6 |
ISSN | 1365-2516 ; 1351-8216 ; 1355-0691 |
ISSN (online) | 1365-2516 |
ISSN | 1351-8216 ; 1355-0691 |
DOI | 10.1111/hae.13559 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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