Arthroscopic synovectomy for hemophilic joint disease in a pediatric population. J Pediatr Orthop 2004;24(4):414-26
Date
06/19/2004Pubmed ID
15205625DOI
10.1097/00004694-200407000-00013Scopus ID
2-s2.0-3042829631 (requires institutional sign-in at Scopus site) 71 CitationsAbstract
Children with hemophilia can develop progressive arthropathy. Arthroscopic synovectomy has been used to reduce hemarthroses, but few long-term results have been published. In this article the authors review their first 12 years of experience. Data are reported on 44 pediatric patients (69 joints: 39 ankles, 21 elbows, 7 knees, 2 shoulders). The median age at surgery was 10 years Median follow-up was 79 months. Joints with sufficient follow-up data showed a median bleeding frequency decline of 84% (P < 0.001). Median arc of motion was stable or improved in the year after surgery in ankles, elbows, and shoulders. Complications were rare. Radiographic scores worsened slightly. In this largest analysis of arthroscopic synovectomy for children with hemophilia, rehabilitation was not problematic.
Author List
Dunn AL, Busch MT, Wyly JB, Sullivan KM, Abshire TCMESH terms used to index this publication - Major topics in bold
AdolescentAnkle Joint
Arthroscopy
Cartilage, Articular
Child
Child, Preschool
Clinical Protocols
Elbow Joint
Hemarthrosis
Hemophilia A
Humans
Knee Joint
Radiography
Range of Motion, Articular
Retrospective Studies
Synovectomy
