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Total knee arthroplasty in HIV‐positive haemophilic patients
Author(s) -
RODRIGUEZMERCHAN E. C.,
WIEDEL J. D.
Publication year - 2002
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.1365-2516.2002.00610.x
Subject(s) - medicine , haemophilia , total knee arthroplasty , arthrodesis , orthopedic surgery , arthroplasty , total knee replacement , surgery , knee joint , debridement (dental) , alternative medicine , pathology
In the era of total joint replacements in orthopaedics, total knee arthroplasty (TKA) should be indicated in haemophilic patients suffering from severe knee pain and disability. However, the expected high risk of infection and other postoperative complications is a concern. Although the message of this article may seem conservative, it should not be inferred that TKA should still be avoided in a haemophilic patient, but rather that the orthopaedic surgeon should weigh the risks and benefits carefully. Clinical and immunological status should be considered before suggesting a total knee replacement to a haemophilic patient. If TKA is contraindicated, knee arthrodesis is the alternative. However, knee joint debridement can relieve pain for several years and delay the need for TKA.