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Hip Osteotomy in Hemophilia

  • Thomas A. Wallny
  • Clayton N. Kraft

Abstract

In comparison to other large joints, the hip is less frequently afflicted by intraarticular bleeding, probably due to the localization of the synovial lining, thereby being less prone to mechanical injury [1]. While intra-articular bleeding in childhood typically induces morphological changes as observed in Perthes, disease [2, 3], knee and ankle arthropathy of the hemophiliac adult is frequently associated with a valgus deformity of the hip [1, 4]. The reason for this may be that in earlier years the typical treatment regime (for hemophiliacs) was immobilization, resulting in severe disturbance of muscular development, combined with varus deformity of the knee [4].

Keywords

Femoral Head Kirschner Wire Blade Plate Hemophilic Arthropathy Haemophilic Arthropathy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Rodríguez-Merchán EC (1996) Effects of hemophilia on articulations of children and adults. Clin Orthop 328:7–13PubMedCrossRefGoogle Scholar
  2. 2.
    Pettersson H, Wingstrand H, Thambert C et al (1990) Legg-Calve-Perthes disease in hemophilia: Incidence and etiologic considerations. J Pediatr Orthop 10:28–32PubMedGoogle Scholar
  3. 3.
    Wallny T, Brackmann HH, Seuser A et al (2003) Haemophilic arthropathy of the hip in children — prognosis and long-term follow-up. Haemophilia 9:197–201PubMedCrossRefGoogle Scholar
  4. 4.
    Hofmann P, Rössler H, Brackmann HH (1977) Orthopedic problems in hemophilia. Pathophysiology and results of operations. Z Orthop 115:342–355PubMedGoogle Scholar
  5. 5.
    Smith MA, Urquhart DR, Savidge GF (1981) The surgical management of varus daformity in haemophilic arthropathy of the knee. J Bone Joint Surg Br 63:261–265PubMedGoogle Scholar
  6. 6.
    Müller ME (1973) In: Tronzo RG (ed) Surgery of the hip joint. Lea & Fabiger, PhiladelphiaGoogle Scholar
  7. 7.
    Müller ME, Allgöwer M, Schneider R, Willenegger H (1991) Manual of internal fixation. 3rd ed. Springer, New YorkGoogle Scholar
  8. 8.
    Wallny T, Brackmann HH, Hess L et al (2002) Long-term follow-up after varus osteotomy for haemophilic arthropathy of the hip. Haemophilia 8:149–152PubMedCrossRefGoogle Scholar
  9. 9.
    Poss R (1984) The role of osteotomy in the treatment of osteoarthritis of the hip. J Bone and Joint Surg Am 66:144–151Google Scholar
  10. 10.
    Nelson IW, Sivamurugan S, Latham PD et al (1992) Total hip arthroplasty for hemophilic arthropathy. Clin Orthop 276:210–213PubMedGoogle Scholar
  11. 11.
    Kelley SS, Lachiewicz PF, Gilbert MS et al (1995) Hip arthroplasty in hemophilic arthropathy. J Bone Joint Surg Am 77:828–834PubMedGoogle Scholar
  12. 12.
    Lofqvist T, Sanzen L, Petersson C, Nilsson IM (1996) Total hip replacement in patients with hemophilia. Acta Orthop Scand 67:321–324PubMedCrossRefGoogle Scholar
  13. 13.
    Luck JV, Kasper CK (1989) Surgical management of advanced hemophilic arthropathy. Clin Orthop 242:60–82PubMedGoogle Scholar

Copyright information

© Springer 2008

Authors and Affiliations

  • Thomas A. Wallny
    • 1
  • Clayton N. Kraft
    • 2
  1. 1.Department of OrthopedicsUniversity HospitalBonnGermany
  2. 2.Orthopaedics and TraumatologyKlinikum KrefeldKrefeldGermany

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