Gao Zeng-xin, Qiu Gui-xing, Weng Xi-sheng, Lin Jin, Jin Jin, Wang Wei, Qian Wen-wei, Sheng Lin, Yang Xin-yu
Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China.
Zhonghua Wai Ke Za Zhi. 2008 Jun 1;46(11):809-12.
To evaluate the clinical results and improve perioperative management in patients with hemophilic arthropathy.
From May 2002 to March 2007, 20 patients with hemophilic arthropathy were admitted. Fourteen patients (20 knees) were performed total knee arthroplasty, and 6 patients (8 hips) were performed total hip arthroplasty, while 2 patients were performed ankle arthrodesis. The average preoperative HSS score, hip Harris score and ankle AOFAS score were 83, 89 and 78 points respectively.
All patients had been followed up, and the mean time was 27.3 months. The average postoperative knee HSS score increased to 83 points, and hip Harris score increased to 89 points, while the AOFAS score increased to 78 points. Delayed bleeding and deep venous thrombosis and late infection with loose prosthesis occurred in one case respectively.
Arthroplasty and arthrodesis are promising for severe hemophilic arthropathy to obtain pain relief and functional improvement Correct perioperative management is the key to successful treatment in hemophilic arthropathy.
评估血友病性关节病患者的临床疗效并改善围手术期管理。
2002年5月至2007年3月，收治20例血友病性关节病患者。14例患者（20膝）行全膝关节置换术，6例患者（8髋）行全髋关节置换术，2例患者行踝关节融合术。术前平均HSS评分、髋关节Harris评分和踝关节AOFAS评分分别为83分、89分和78分。
所有患者均获随访，平均随访时间27.3个月。术后膝关节平均HSS评分升至83分，髋关节Harris评分升至89分，踝关节AOFAS评分升至78分。分别有1例发生延迟出血、深静脉血栓形成及晚期假体周围感染松动。
关节置换术和关节融合术有望使重度血友病性关节病患者缓解疼痛、改善功能。正确的围手术期管理是血友病性关节病治疗成功的关键。
