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Treatment of Exposed Fractures in Hemophiliac Patients

  • S. M. Javad Mortazavi

Abstract

The incidence of fracture in patients with hemophilia is controversial. Some believe that it is infrequent because these individuals are less ambulant due to the gravity of their illness and because their daily activities are reduced due to associated arthropathy and contractures [1, 2, 3]. Others hold that fractures may occur frequently and after trivial trauma because of poor musculature, osteoporosis, limited range of motion in the affected joint, and hemophilic changes in the bone [4]. The incidence of open fractures in hemophiliacs is not yet well known, but it seems that it is lower in the hemophiliac population than in the general population. If we accept the idea that fractures are more frequent in patients with hemophilia, they are not open fractures, because according to this opinion, low-energy trauma is the main cause of fracture and the possibility of open fracture is low in the presence of such trauma. On the other hand, thanks to preventive treatment, hemophiliac patients no longer need to restrict their activities, so they are exposed to risks in a similar way to the normal population. This suggests that open fractures could occur in hemophiliac patients.

Keywords

Compartment Syndrome Open Fracture Orthop Trauma Tibial Shaft Hemophiliac Patient 
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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Copyright information

© Springer 2008

Authors and Affiliations

  • S. M. Javad Mortazavi
    • 1
  1. 1.Orthopedic Surgery, Imam University Hospital Hemophilia CentreTehran University of Medical SciencesTehranIran

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