Primary Total Knee Replacement

  • Jerome Wiedel


With the long-term success of total knee arthroplasties performed for osteoarthritis, and the availability of factor concentrates allowing safe major surgical procedures to be performed in hemophilia, total knee arthroplasty is considered the procedure of choice for the patient with chronic hemophilic arthropathy of the knee. The primary indication for total knee arthroplasty in a person with hemophilia is severe disabling pain. Deformity and poor functional range of motion are contributing indications, and may by themselves be the main indication when severe pain is not present.


Total Knee Arthroplasty Distal Femur Total Knee Replacement Proximal Tibia Flexion Contracture 
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Suggested Readings

  1. Goddard NJ, Rodriguez-Merchan EC, Wiedel JD (2002) Total knee replacement in haemophilia. Haemophilia 8(3):382–386PubMedCrossRefGoogle Scholar
  2. Rodríguez-Merchán EC (2007) Total joint arthroplasty: the final solution for knee and hip when synovitis could not be controlled. Haemophilia 13(3):49–58PubMedCrossRefGoogle Scholar
  3. Silva M, Luck JV Jr. (2005) Long-term results of primary total knee replacement in patients with hemophilia. JBJS 87(1):85–91Google Scholar

Copyright information

© Springer 2008

Authors and Affiliations

  • Jerome Wiedel
    • 1
  1. 1.Anschutz Outpatient Pavillion, Department of OrthopedicsUniversity of Colorado Health Sciences CentreAuroraUSA

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