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Safety and efficacy of three arthroscopic procedures using Holmium: Yag laser in two high‐responder haemophiliacs
Author(s) -
Ménart,
Lalain,
Lienhart,
Déchavanne,
Négrier
Publication year - 1999
Publication title -
haemophilia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.213
H-Index - 92
eISSN - 1365-2516
pISSN - 1351-8216
DOI - 10.1046/j.1365-2516.1999.00299.x
Subject(s) - medicine , surgery , synovectomy , rheumatoid arthritis
We report here on the efficacy and safety of three arthroscopic procedures using a Holmium: Yag laser in two high‐responder haemophiliacs. The two patients were treated with an activated prothrombin complex concentrate (FEIBA; Immuno, Vienna, Austria). Treatment was started just before surgery and continued for 4–8 days. On one occasion antifibrinolytics were concomitantly used without thromboembolic complication. Post‐operative blood loss was slight, joint mobility was rapidly acceptable and full weight bearing without pain was possible on day 4. Such a procedure would appear to be superior to conventional arthroscopic synovectomy utilizing mechanical devices in haemophiliacs, because it might improve the quality of local haemostasis and the rapidity of post‐operative recovery. In addition, it is also the technical procedure of choice in haemophilic patients with inhibitors who need synovectomy.