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- Title
Complications and Implant Survival of Total Knee Arthroplasty in People with Hemophilia.
- Authors
Rodriguez-Merchan, Emerito Carlos; De la Corte-Rodriguez, Hortensia; Alvarez-Roman, Teresa; Gomez-Cardero, Primitivo; Encinas-Ullan, Carlos A.; Jimenez-Yuste, Victor
- Abstract
Total knee arthroplasty (TKA) is a commonly used option in advanced stages of knee arthropathy in people with hemophilia (PWH). The objective of this article is to determine what the complication rates and implant survival rates in PWH are in the literature. A literature search was carried out in PubMed (MEDLINE), Cochrane Library, Web of Science, Embase and Google Scholar utilizing the keywords "hemophilia TKA complications" on 20 October 2022. It was found that the rate of complications after TKA in PWH is high (range 7% to 30%), although it has improved during the last two decades, possibly due to better perioperative hematologic treatment. However, prosthetic survival at 10 years has not changed substantially, being in the last 30 years approximately 80% to 90% taking as endpoint the revision for any reason. Survival at 20 years taking as endpoint the revision for any reason is 60%. It is possible that with a precise perioperative control of hemostasis in PWH, the percentage of complications after TKA can be diminished.
- Subjects
TOTAL knee replacement; HEMOPHILIA; SURVIVAL rate
- Publication
Journal of Clinical Medicine, 2022, Vol 11, Issue 21, p6244
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm11216244