Simultaneous total hip and knee arthroplasties in hemophilic arthropathy: series of 5 cases
Objective: This study aimed to compare preoperative and postoperative measures in haemophiliacs who had simultaneous total hip and knee arthroplasties. Methods: A retrospective database search identified five patients with severe factor 8 deficiencies who underwent simultaneous hip and knee joint...
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2024-11-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | https://www.aott.org.tr/en/simultaneous-total-hip-and-knee-arthroplasties-in-hemophilic-arthropathy-series-of-5-cases-137435 |
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| author | Özgür Mert Bakan Arman Vahabi Elcil Kaya Biçer Fahri Şahin Kaan Kavaklı |
| author_facet | Özgür Mert Bakan Arman Vahabi Elcil Kaya Biçer Fahri Şahin Kaan Kavaklı |
| author_sort | Özgür Mert Bakan |
| collection | DOAJ |
| description | Objective: This study aimed to compare preoperative and postoperative measures in haemophiliacs who had simultaneous total hip and knee arthroplasties.
Methods: A retrospective database search identified five patients with severe factor 8 deficiencies who underwent simultaneous hip and knee joint replacement surgery between 2002-2018. Preoperative and postoperative evaluations included Harris Hip Score (HHS), Knee Society Score (KSS), Knee Injury and Osteoarthritis Outcome Score (KOOS), range of motion, flexion contracture (FC), Visual Analog Scale (VAS), hip-knee angle, and leg length discrepancy.
Results: The mean age of the patients was 50.8 years, with a mean follow-up duration of 60 months. Preoperative knee ROM was 55 degrees, improving to 73.8 degrees postoperatively. Preoperative knee FC was 13.7 degrees, improving to 10 degrees postoperatively. HHS increased from 45.6 to 75.7, KSS increased from 36 to 69.3, and KOOS total score increased from 34.4 to 82.7. VAS scores decreased from 6.3 to 1.3. One patient experienced prolonged bleeding and subsequent complications, while the others showed significant improvements.
Conclusion: Simultaneous hip and knee arthroplasties in hemophiliacs may provide benefits in terms of physical and functional gains. However, the increased risk of complications necessitates careful patient selection. For patients with comorbidities, staged surgeries may be advisable to avoid potential complications.
Level of Evidence: Level IV, Therapeutic study. |
| format | Article |
| id | doaj-art-09f9bc191afe47b7bb042d1f738bac48 |
| institution | Kabale University |
| issn | 1017-995X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj-art-09f9bc191afe47b7bb042d1f738bac482025-02-03T10:58:33ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2024-11-0158633634010.5152/j.aott.2024.24044Simultaneous total hip and knee arthroplasties in hemophilic arthropathy: series of 5 casesÖzgür Mert Bakan0https://orcid.org/0000-0002-6547-0949Arman Vahabi1https://orcid.org/0000-0002-8937-6658Elcil Kaya Biçer2https://orcid.org/0000-0002-3315-6920Fahri Şahin3https://orcid.org/0000-0001-9315-8891Kaan Kavaklı4https://orcid.org/0000-0003-1174-1958Department of Orthopedics and Traumatology, Mardin Park Private Hospital, Mardin, TürkiyeDepartment of Orthopedics and Traumatology, Ege University School of Medicine, Izmir, TürkiyeDepartment of Orthopedics and Traumatology, Ege University School of Medicine, Izmir, TürkiyeDivision of Hematology, Department of Internal Medicine, Ege University School of Medicine, Izmir, TürkiyeDivision of Hemato-Oncology, Department of Pediatrics, Ege University Faculty of Medicine, Izmir, TürkiyeObjective: This study aimed to compare preoperative and postoperative measures in haemophiliacs who had simultaneous total hip and knee arthroplasties. Methods: A retrospective database search identified five patients with severe factor 8 deficiencies who underwent simultaneous hip and knee joint replacement surgery between 2002-2018. Preoperative and postoperative evaluations included Harris Hip Score (HHS), Knee Society Score (KSS), Knee Injury and Osteoarthritis Outcome Score (KOOS), range of motion, flexion contracture (FC), Visual Analog Scale (VAS), hip-knee angle, and leg length discrepancy. Results: The mean age of the patients was 50.8 years, with a mean follow-up duration of 60 months. Preoperative knee ROM was 55 degrees, improving to 73.8 degrees postoperatively. Preoperative knee FC was 13.7 degrees, improving to 10 degrees postoperatively. HHS increased from 45.6 to 75.7, KSS increased from 36 to 69.3, and KOOS total score increased from 34.4 to 82.7. VAS scores decreased from 6.3 to 1.3. One patient experienced prolonged bleeding and subsequent complications, while the others showed significant improvements. Conclusion: Simultaneous hip and knee arthroplasties in hemophiliacs may provide benefits in terms of physical and functional gains. However, the increased risk of complications necessitates careful patient selection. For patients with comorbidities, staged surgeries may be advisable to avoid potential complications. Level of Evidence: Level IV, Therapeutic study.https://www.aott.org.tr/en/simultaneous-total-hip-and-knee-arthroplasties-in-hemophilic-arthropathy-series-of-5-cases-137435 |
| spellingShingle | Özgür Mert Bakan Arman Vahabi Elcil Kaya Biçer Fahri Şahin Kaan Kavaklı Simultaneous total hip and knee arthroplasties in hemophilic arthropathy: series of 5 cases Acta Orthopaedica et Traumatologica Turcica |
| title | Simultaneous total hip and knee arthroplasties in hemophilic arthropathy: series of 5 cases |
| title_full | Simultaneous total hip and knee arthroplasties in hemophilic arthropathy: series of 5 cases |
| title_fullStr | Simultaneous total hip and knee arthroplasties in hemophilic arthropathy: series of 5 cases |
| title_full_unstemmed | Simultaneous total hip and knee arthroplasties in hemophilic arthropathy: series of 5 cases |
| title_short | Simultaneous total hip and knee arthroplasties in hemophilic arthropathy: series of 5 cases |
| title_sort | simultaneous total hip and knee arthroplasties in hemophilic arthropathy series of 5 cases |
| url | https://www.aott.org.tr/en/simultaneous-total-hip-and-knee-arthroplasties-in-hemophilic-arthropathy-series-of-5-cases-137435 |
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