Arthroscopic synovectomy considerably reduces bleeding frequency and improves joint function in hemophilic patients with chronic synovitis

Lung Te Wu, Hsien Tsung Lu, Chih Haw Chen, Alexander Ko, Chian Her Lee*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

2 Scopus citations

Abstract

Background/Introduction: Hemophilic arthropathy (HA) is the most common complication in patients with hemophilia. Arthroscopic synovectomy in HA is the optimal choice of treatment because it is less invasive. Purpose/Aim: To demonstrate the effectiveness of arthroscopic synovectomy for HA involving the knees, elbows, and ankles. Methods: This study retrospectively analyzed 11 patients with chronic synovitis with repeated hemoarthrosis (13 joints: 5 knees, 4 elbows, and 4 ankles) between August 2011 and August 2013. The joints that did not respond well to secondary prophylactic factor replacement and physical therapy underwent arthroscopic synovectomy for further treatment. Patient profiles, joint pain scores, bleeding frequency, and joint function scores were reviewed. Results: The mean visual analog scale scores for pain decreased from 77.1 mm preoperatively to 27.7 mm postoperatively (p < 0.05). The mean annual bleeding frequencies before and after surgery were 6.1 times/y and 2.0 times/y, respectively (p < 0.05). Functional scores for all the joints improved. The mean Lysholm knee scale score significantly increased from 45.2 preoperatively to 74.4 postoperatively (p < 0.05). No major complications were observed. Conclusion: Arthroscopic synovectomy, a less invasive procedure for HA, significantly reduced joint pain, prevented bleeding episodes, and improved joint function with few complications.

Original languageEnglish
Pages (from-to)49-55
Number of pages7
JournalZhonghua Minguo wai ke yi xue hui za zhi
Volume49
Issue number2
DOIs
StatePublished - 01 04 2016
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2016.

Keywords

  • Arthroscopic synovectomy
  • Bleeding frequency
  • Hemophilic arthropathy

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