{"title":"Clinical outcomes of total hip and knee arthroplasty for end-stage hemophilic arthropathy in patients with hemophilia: a retrospective study.","authors":"AErGen BaHeTe, YuLiang Shao, PengDe Kang","doi":"10.1186/s13018-025-05924-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Hemophilic Arthropathy (HA) frequently affects the hip and knee joints, with total hip arthroplasty (THA) or total knee arthroplasty (TKA) serving as primary treatment methods for end-stage hemophilic arthropathy. This study aims to retrospectively analyze the functional outcomes and satisfaction levels of hemophilia patients undergoing TKA or THA.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of 64 hemophilic patients who underwent total knee arthroplasty (TKA) or total hip arthroplasty (THA) between 2014 and 2024 (including 42 TKA and 30 THA procedures) and performed follow-up evaluations. Clinical outcomes assessed included range of motion (ROM), functional scores (HSS scores for knees, HHS scores for hips, VAS scores, and Barthel Index), overall patient satisfaction, radiographic outcomes (operative side X-rays), and the incidence of postoperative complications.</p><p><strong>Results: </strong>Total joint arthroplasty (TJA) can relieve pain, improve joint function, significantly enhance patients' quality of life, and achieve extremely high satisfaction.</p><p><strong>Conclusions: </strong>TJA is an effective surgical option for patients with end-stage hemophilic arthropathy. Following joint arthroplasty, patients with hemophilic osteoarthritis experience improved joint pain and range of motion, as well as enhanced quality of life.</p>","PeriodicalId":16629,"journal":{"name":"Journal of Orthopaedic Surgery and Research","volume":"20 1","pages":"519"},"PeriodicalIF":2.8000,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12107917/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Surgery and Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13018-025-05924-8","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: Hemophilic Arthropathy (HA) frequently affects the hip and knee joints, with total hip arthroplasty (THA) or total knee arthroplasty (TKA) serving as primary treatment methods for end-stage hemophilic arthropathy. This study aims to retrospectively analyze the functional outcomes and satisfaction levels of hemophilia patients undergoing TKA or THA.
Methods: We conducted a retrospective analysis of 64 hemophilic patients who underwent total knee arthroplasty (TKA) or total hip arthroplasty (THA) between 2014 and 2024 (including 42 TKA and 30 THA procedures) and performed follow-up evaluations. Clinical outcomes assessed included range of motion (ROM), functional scores (HSS scores for knees, HHS scores for hips, VAS scores, and Barthel Index), overall patient satisfaction, radiographic outcomes (operative side X-rays), and the incidence of postoperative complications.
Results: Total joint arthroplasty (TJA) can relieve pain, improve joint function, significantly enhance patients' quality of life, and achieve extremely high satisfaction.
Conclusions: TJA is an effective surgical option for patients with end-stage hemophilic arthropathy. Following joint arthroplasty, patients with hemophilic osteoarthritis experience improved joint pain and range of motion, as well as enhanced quality of life.
期刊介绍:
Journal of Orthopaedic Surgery and Research is an open access journal that encompasses all aspects of clinical and basic research studies related to musculoskeletal issues.
Orthopaedic research is conducted at clinical and basic science levels. With the advancement of new technologies and the increasing expectation and demand from doctors and patients, we are witnessing an enormous growth in clinical orthopaedic research, particularly in the fields of traumatology, spinal surgery, joint replacement, sports medicine, musculoskeletal tumour management, hand microsurgery, foot and ankle surgery, paediatric orthopaedic, and orthopaedic rehabilitation. The involvement of basic science ranges from molecular, cellular, structural and functional perspectives to tissue engineering, gait analysis, automation and robotic surgery. Implant and biomaterial designs are new disciplines that complement clinical applications.
JOSR encourages the publication of multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines, which will be the trend in the coming decades.