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血友病患者的全膝关节置换术:我们了解多少?

Total Knee Arthroplasty in Patients with Hemophilia: What Do We Know?

作者信息

Mortazavi Sm Javad, Bagheri Nima, Farhoud Amirreza, Hadi Kalantar Saeid, Ghadimi Ehsan

机构信息

Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Arch Bone Jt Surg. 2020 Jul;8(4):470-478. doi: 10.22038/abjs.2019.42247.2149.

Abstract

Total knee arthroplasty is considered as the treatment of choice for those with end stage hemophilic arthropathy. Compared to other patients undergoing TKA, these patients have specific features such as bleeding tendency, younger age, pre-operative restricted range of motion (ROM), altered anatomy, and increased complications. This narrative review of literature is going to investigate several issues regarding the TKA in hemophilic patients including indications, perioperative factor replacement, surgical challenges, postoperative rehabilitation, outcomes, and complications.

摘要

全膝关节置换术被认为是终末期血友病性关节病患者的首选治疗方法。与其他接受全膝关节置换术的患者相比,这些患者具有特定特征,如出血倾向、年龄较轻、术前活动范围受限、解剖结构改变以及并发症增加。这篇文献综述将探讨血友病患者全膝关节置换术的几个问题,包括适应症、围手术期因子替代、手术挑战、术后康复、疗效和并发症。

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Simultaneous bilateral total knee arthroplasty in hemophilia: is it recommended?血友病患者同期双侧全膝关节置换术:是否推荐?
Expert Rev Hematol. 2017 Oct;10(10):847-851. doi: 10.1080/17474086.2017.1358084. Epub 2017 Jul 31.

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