Complications of the Orthopaedic Surgery in Haemophilia

Pp: 229-239 (11)

* (Excluding Mailing and Handling)

Abstract

The knowledge regarding the management of complications related to orthopaedic surgery in Haemophilia is still limited due to the lack of published data and several concerns about the possible catastrophic damage to patients. A quote of 12% to 17% of haemophilic patients need a hospital admission to undergo orthopaedic surgery and more than one procedure is often needed for some subjects. Complications in haemophilic patients occur from 2% to 66% and are strictly related to the severity of disease, type of orthopaedic procedure, and patient comorbidities. Bleeding, haematoma, wound complications, infection, inhibitors development, deep venous thromboembolism, and intraoperative fractures are the most frequently reported complications. The management of complications of the orthopaedic surgery in haemophiliacs is a challenging task, requiring complex treatment performed in a highly specialized centre by a multidisciplinary team.

Keywords: Bleeding, Complications, Fractures Haemophilia, Haematoma, Infection, Inhibitors, Orthopaedic surgery.

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