Khan Mohammad Jesan, Asif Naiyer, Siddiqui Yasir Salam, Aziz Mohd Hadi, Raza Ariz, Alam Noor
Department of Orthopaedic Surgery, JNMCH, AMU Aligarh, Uttar Pradesh, India.
Department of Orthopaedic Surgery, Hamdard Institute of Medical Sciences & Research (HIMSR) New Delhi, India.
Int J Burns Trauma. 2023 Apr 15;13(2):89-93. eCollection 2023.
Surgical management of knee synovitis secondary to mild haemophilia, without any significant previous medical history and an adverse family history of haematological disorders, is arduous. Due to its rare occurrence, the diagnosis is often delayed or sometimes missed, leading to the grave and often lethal consequences in intraoperative and postoperative periods. Hardly isolated knee arthropathy due to mild haemophilia has been reported in the available literature. In this report, we present the management of a case of a 16-year-old male with isolated knee synovitis with undiagnosed mild haemophilia, who came to us with the first episode of knee bleeding. We elucidate the signs and symptoms, investigations, surgical management, and difficulties faced, especially during the postoperative period. This case report is presented to enhance awareness of the existence of this disorder and its management to prevent postoperative complications.
对于继发于轻度血友病的膝关节滑膜炎患者，若无任何重要既往病史及血液系统疾病家族史，其外科治疗颇具难度。由于该病罕见，诊断常被延误，有时甚至漏诊，从而在术中和术后导致严重且往往致命的后果。现有文献中鲜有关于轻度血友病所致单纯膝关节病的报道。在本报告中，我们介绍了一例16岁男性患者的治疗情况，该患者患有未确诊的轻度血友病且伴有单纯膝关节滑膜炎，因首次膝关节出血前来就诊。我们阐述了其症状体征、检查、外科治疗以及所面临的困难，尤其是术后的困难。本病例报告旨在提高对该疾病存在及其治疗的认识，以预防术后并发症。
