Integrative Approach in Haemophillic Arthropathy of The Knee: a Case Report
Haemophilic arthropathy is the most prevalent joint disorder in haemophilia. This disorder is characterized by chronic synovitis and progressive destruction of joint cartilage. We report a case of arthroscopic synovectomy to reduce bleeding frequency in haemophilic arthropathy of the knee. Patient...
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| Format: | Article |
| Language: | English |
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Interna Publishing
2016-05-01
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| Series: | Acta Medica Indonesiana |
| Online Access: | http://actamedindones.org/index.php/ijim/article/view/25 |
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| author | Andri Maruli T Lubis Kurniadi Husodo Lugyanti Sukrisman Djajadiman Gatot |
| author_facet | Andri Maruli T Lubis Kurniadi Husodo Lugyanti Sukrisman Djajadiman Gatot |
| author_sort | Andri Maruli T Lubis |
| collection | DOAJ |
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Haemophilic arthropathy is the most prevalent joint disorder in haemophilia. This disorder is characterized by chronic synovitis and progressive destruction of joint cartilage. We report a case of arthroscopic synovectomy to reduce bleeding frequency in haemophilic arthropathy of the knee. Patient was a 15 years old male with haemophilic arthropathy of the left knee. We performed an arthroscopic synovectomy under tightly regulated factor VIII replacement therapy. There were villous synovial hypertrophy at all part of the joint, multiple bone and cartilage defect, and also anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) deficiency found intraoperatively. After 6 month follow up, subjective complain and bleeding frequency decreased significantly. The visual analog scale improved from 5-6 to 1-2, and the International Knee Documentation Committee Score increased from 49 to 66. Bleeding frequency decreased from 4-8 times per month to less than 1 time per month. Arthroscopic synovectomy performed in this case could reduce the pain, decrease the frequency of bleeding, and improve patient’s functional outcome.
Key words: arthroscopic synovectomy, haemophilic arthropathy, haemophilia, anterior cruciate ligament, posterior cruciate ligament.
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| format | Article |
| id | doaj-art-79e88a4e7bd9441ba8cd73ec0d088d75 |
| institution | Kabale University |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2016-05-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-79e88a4e7bd9441ba8cd73ec0d088d752025-08-20T03:45:14ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322016-05-01474Integrative Approach in Haemophillic Arthropathy of The Knee: a Case ReportAndri Maruli T Lubis0Kurniadi Husodo1Lugyanti Sukrisman2Djajadiman Gatot3Department of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Orthopaedic and Traumatology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, JakartaDepartment of Pediatrics, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta Haemophilic arthropathy is the most prevalent joint disorder in haemophilia. This disorder is characterized by chronic synovitis and progressive destruction of joint cartilage. We report a case of arthroscopic synovectomy to reduce bleeding frequency in haemophilic arthropathy of the knee. Patient was a 15 years old male with haemophilic arthropathy of the left knee. We performed an arthroscopic synovectomy under tightly regulated factor VIII replacement therapy. There were villous synovial hypertrophy at all part of the joint, multiple bone and cartilage defect, and also anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) deficiency found intraoperatively. After 6 month follow up, subjective complain and bleeding frequency decreased significantly. The visual analog scale improved from 5-6 to 1-2, and the International Knee Documentation Committee Score increased from 49 to 66. Bleeding frequency decreased from 4-8 times per month to less than 1 time per month. Arthroscopic synovectomy performed in this case could reduce the pain, decrease the frequency of bleeding, and improve patient’s functional outcome. Key words: arthroscopic synovectomy, haemophilic arthropathy, haemophilia, anterior cruciate ligament, posterior cruciate ligament. http://actamedindones.org/index.php/ijim/article/view/25 |
| spellingShingle | Andri Maruli T Lubis Kurniadi Husodo Lugyanti Sukrisman Djajadiman Gatot Integrative Approach in Haemophillic Arthropathy of The Knee: a Case Report Acta Medica Indonesiana |
| title | Integrative Approach in Haemophillic Arthropathy of The Knee: a Case Report |
| title_full | Integrative Approach in Haemophillic Arthropathy of The Knee: a Case Report |
| title_fullStr | Integrative Approach in Haemophillic Arthropathy of The Knee: a Case Report |
| title_full_unstemmed | Integrative Approach in Haemophillic Arthropathy of The Knee: a Case Report |
| title_short | Integrative Approach in Haemophillic Arthropathy of The Knee: a Case Report |
| title_sort | integrative approach in haemophillic arthropathy of the knee a case report |
| url | http://actamedindones.org/index.php/ijim/article/view/25 |
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