Clinical outcomes of total hip and knee arthroplasty for end-stage hemophilic arthropathy in patients with hemophilia: a retrospective study

Abstract Purpose Hemophilic Arthropathy (HA) frequently affects the hip and knee joints, with total hip arthroplasty (THA) or total knee arthroplasty (TKA) serving as primary treatment methods for end-stage hemophilic arthropathy. This study aims to retrospectively analyze the functional outcomes an...

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Main Authors: AErGen BaHeTe, YuLiang Shao, PengDe Kang
Format: Article
Language:English
Published: BMC 2025-05-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-025-05924-8
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author AErGen BaHeTe
YuLiang Shao
PengDe Kang
author_facet AErGen BaHeTe
YuLiang Shao
PengDe Kang
author_sort AErGen BaHeTe
collection DOAJ
description Abstract Purpose Hemophilic Arthropathy (HA) frequently affects the hip and knee joints, with total hip arthroplasty (THA) or total knee arthroplasty (TKA) serving as primary treatment methods for end-stage hemophilic arthropathy. This study aims to retrospectively analyze the functional outcomes and satisfaction levels of hemophilia patients undergoing TKA or THA. Methods We conducted a retrospective analysis of 64 hemophilic patients who underwent total knee arthroplasty (TKA) or total hip arthroplasty (THA) between 2014 and 2024 (including 42 TKA and 30 THA procedures) and performed follow-up evaluations. Clinical outcomes assessed included range of motion (ROM), functional scores (HSS scores for knees, HHS scores for hips, VAS scores, and Barthel Index), overall patient satisfaction, radiographic outcomes (operative side X-rays), and the incidence of postoperative complications. Results Total joint arthroplasty (TJA) can relieve pain, improve joint function, significantly enhance patients’ quality of life, and achieve extremely high satisfaction. Conclusions TJA is an effective surgical option for patients with end-stage hemophilic arthropathy. Following joint arthroplasty, patients with hemophilic osteoarthritis experience improved joint pain and range of motion, as well as enhanced quality of life.
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spelling doaj-art-32d6a41a7f3a42a48d36e4ca88b7fbd02025-08-20T02:00:09ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-05-012011610.1186/s13018-025-05924-8Clinical outcomes of total hip and knee arthroplasty for end-stage hemophilic arthropathy in patients with hemophilia: a retrospective studyAErGen BaHeTe0YuLiang Shao1PengDe Kang2West China Hospital of Sichuan UniversityThe First People’s Hospital of Longnan CityWest China Hospital of Sichuan UniversityAbstract Purpose Hemophilic Arthropathy (HA) frequently affects the hip and knee joints, with total hip arthroplasty (THA) or total knee arthroplasty (TKA) serving as primary treatment methods for end-stage hemophilic arthropathy. This study aims to retrospectively analyze the functional outcomes and satisfaction levels of hemophilia patients undergoing TKA or THA. Methods We conducted a retrospective analysis of 64 hemophilic patients who underwent total knee arthroplasty (TKA) or total hip arthroplasty (THA) between 2014 and 2024 (including 42 TKA and 30 THA procedures) and performed follow-up evaluations. Clinical outcomes assessed included range of motion (ROM), functional scores (HSS scores for knees, HHS scores for hips, VAS scores, and Barthel Index), overall patient satisfaction, radiographic outcomes (operative side X-rays), and the incidence of postoperative complications. Results Total joint arthroplasty (TJA) can relieve pain, improve joint function, significantly enhance patients’ quality of life, and achieve extremely high satisfaction. Conclusions TJA is an effective surgical option for patients with end-stage hemophilic arthropathy. Following joint arthroplasty, patients with hemophilic osteoarthritis experience improved joint pain and range of motion, as well as enhanced quality of life.https://doi.org/10.1186/s13018-025-05924-8Total joint replacementHemophiliaFunctional outcome
spellingShingle AErGen BaHeTe
YuLiang Shao
PengDe Kang
Clinical outcomes of total hip and knee arthroplasty for end-stage hemophilic arthropathy in patients with hemophilia: a retrospective study
Journal of Orthopaedic Surgery and Research
Total joint replacement
Hemophilia
Functional outcome
title Clinical outcomes of total hip and knee arthroplasty for end-stage hemophilic arthropathy in patients with hemophilia: a retrospective study
title_full Clinical outcomes of total hip and knee arthroplasty for end-stage hemophilic arthropathy in patients with hemophilia: a retrospective study
title_fullStr Clinical outcomes of total hip and knee arthroplasty for end-stage hemophilic arthropathy in patients with hemophilia: a retrospective study
title_full_unstemmed Clinical outcomes of total hip and knee arthroplasty for end-stage hemophilic arthropathy in patients with hemophilia: a retrospective study
title_short Clinical outcomes of total hip and knee arthroplasty for end-stage hemophilic arthropathy in patients with hemophilia: a retrospective study
title_sort clinical outcomes of total hip and knee arthroplasty for end stage hemophilic arthropathy in patients with hemophilia a retrospective study
topic Total joint replacement
Hemophilia
Functional outcome
url https://doi.org/10.1186/s13018-025-05924-8
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