Benz H J
Z Orthop Ihre Grenzgeb. 1978;116(6):905-9.
Haemophilics bleed most frequently into the joints. However, not all haemarthroses will necessarily lead to permanent joint damage. An examination of the twelve large extremity joints of sixty bleeders showed that 23% of the joints were restituted. An example of a haemophilic arthropathy of the knee joints serves to illustrate the fact that even a joint showing roentgenologic changes over a period of many years can heal in the course of the growth of the affected juvenile. The chance of a restitution is the greater, the lesser the joint had been damaged, the lesser the haemarthrosis, and the shorter the period during which the blood remained in the joint.
血友病患者最常发生关节出血。然而,并非所有关节积血都会必然导致永久性关节损伤。对60名出血患者的12个大关节进行检查发现,23%的关节恢复正常。膝关节血友病性关节病的一个例子可以说明,即使一个关节多年来一直有X线改变,在受影响青少年的生长过程中也可以愈合。关节损伤越小、关节积血越少、血液在关节内停留的时间越短,恢复的可能性就越大。