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Total elbow arthroplasty in haemophilia
Author(s) -
Dale T. M.,
Saucedo J. M.,
RodriguezMerchan E. C.
Publication year - 2018
Publication title -
haemophilia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.213
H-Index - 92
eISSN - 1365-2516
pISSN - 1351-8216
DOI - 10.1111/hae.13498
Subject(s) - medicine , haemophilia , elbow , arthropathy , population , arthroplasty , surgery , physical therapy , survivorship curve , osteoarthritis , alternative medicine , environmental health , pathology
Advanced haemophilic arthropathy of the elbow can be a devastating manifestation of severe haemophilia with significant implications for activities of daily living. Aim To summarize the currently available data on total elbow arthroplasty ( TEA ) for haemophilic arthropathy of the elbow, to draw comparisons to TEA for other indications, and to outline some considerations regarding TEA in this unique population. Methods A narrative review of the literature has been performed. Results The scant data regarding outcomes of TEA for haemophilic arthropathy are limited to small case series and case reports. A review of the available literature shows that, while pain relief and patient satisfaction are promising, variable outcomes with significant complications and infection rates may discourage routine use of TEA for haemophilic arthropathy of the elbow. Conclusion While patients with severe haemophilic arthropathy of the elbow are likely to make gains in terms of pain control and range of motion following TEA , there are insufficient data to routinely recommend its use. Complication and infection rates are concerning, and the lack of survival analysis data makes it difficult to quantify the benefit to the patient in light of the risks and resources involved in the procedure.