Arthroscopic synovectomy in haemophilic arthropathy of the knee

From January 1996 to January 2001, arthroscopic synovectomies were performed in 28 knees with haemophilic arthropathy. The mean follow-up period was 5 years and 11 months. Six portals (two anterior, two suprapatellar, two posterior) and a posterior trans-septal portal were used in all cases. The ave...

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Bibliographic Details
Published in:International orthopaedics 2005-10, Vol.29 (5), p.296-300
Main Authors: Yoon, Kyoung Ho, Bae, Dae Kyung, Kim, Hee Sun, Song, Sang Jun
Format: Article
Language:English
Subjects:
Adolescent
Adult
Arthroscopy
Child
Female
Hemarthrosis - etiology
Hemarthrosis - surgery
Hemophilia A - complications
Humans
Knee Joint - surgery
Male
Original Paper
Range of Motion, Articular
Synovectomy
Treatment Outcome
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Summary:From January 1996 to January 2001, arthroscopic synovectomies were performed in 28 knees with haemophilic arthropathy. The mean follow-up period was 5 years and 11 months. Six portals (two anterior, two suprapatellar, two posterior) and a posterior trans-septal portal were used in all cases. The average Hospital for Special Surgery (HSS) knee score increased from 56.4 to 71.5 points at the last follow-up. The average frequency of haemarthrosis reduced from five times per month before operation to once per month. The amount of factor replacement decreased from a mean of 4,633 U to 1,505 U. Progression of arthritis was observed radiographically in three cases at the last follow-up. An arthroscopic synovectomy of the knee using appropriate arthroscopic portals is a useful method in treating haemophilic patients as it decreases bleeding episodes, amount of factor replacement and knee pain.
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-005-0666-2