open access

Vol 48, No 3 (2017)
Kazuistyka / Case reports
Published online: 2017-07-01
Submitted: 2017-07-04
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Aloplasty of an ankylosed knee in a patient with severe haemophilia A

Jerzy Mirosław Jaworski1, Adam Zawojski1, Joanna Zdziarska2, Krzysztof Czernicki3, Magdalena Wilk-Frańczuk4
DOI: 10.1016/j.achaem.2017.07.008
·
Acta Haematol Pol 2017;48(3):212-216.
Affiliations
  1. Orthopaedic Ward, Cracow Center of Rehabilitation and Orthopaedics, Cracow, Poland
  2. Hematology Department, University Hospital in Cracow, Poland
  3. Rehabilitation Ward, Cracow Center of Rehabilitation and Orthopaedics, Cracow, Poland
  4. Rehabilitation Clinic, Institute of Physiotherapy, Jagiellonian University – Collegium Medicum, Cracow, Poland

open access

Vol 48, No 3 (2017)
Kazuistyka / Case reports
Published online: 2017-07-01
Submitted: 2017-07-04

Abstract

The goal of this report is to describe a case of knee arthroplasty in a patient with over a 20 year long history of ankylosis of the left knee joint in the course of severe haemophilia A. Clinical and functional conditions were assessed by means of a Knee Society Score (KSS); pain intensity by Visual Analogue Scale (VAS); and intensity of degeneration of bone forming the joint by means of the Kellgren-Lawrence Scale. ROM of the knee joint before and after the operation was measured. We used hinge prosthesis of S-ROM by De Puy to restore the knee joint. As a result of the operation we got axial alignment of the limb. During two years of clinical follow-up, the patient achieved increasing mobility of the operated knee, full extension, and 80 degrees of active flexion. There were no radiological signs of loosening of the implant. The patients’ functional capabilities improved significantly; and pain occurred only occasionally.

Abstract

The goal of this report is to describe a case of knee arthroplasty in a patient with over a 20 year long history of ankylosis of the left knee joint in the course of severe haemophilia A. Clinical and functional conditions were assessed by means of a Knee Society Score (KSS); pain intensity by Visual Analogue Scale (VAS); and intensity of degeneration of bone forming the joint by means of the Kellgren-Lawrence Scale. ROM of the knee joint before and after the operation was measured. We used hinge prosthesis of S-ROM by De Puy to restore the knee joint. As a result of the operation we got axial alignment of the limb. During two years of clinical follow-up, the patient achieved increasing mobility of the operated knee, full extension, and 80 degrees of active flexion. There were no radiological signs of loosening of the implant. The patients’ functional capabilities improved significantly; and pain occurred only occasionally.

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Keywords

Knee aloplasty; Rotating-hinge type prosthesis; Haemophilia; Ankylosis

About this article
Title

Aloplasty of an ankylosed knee in a patient with severe haemophilia A

Journal

Acta Haematologica Polonica

Issue

Vol 48, No 3 (2017)

Pages

212-216

Published online

2017-07-01

DOI

10.1016/j.achaem.2017.07.008

Bibliographic record

Acta Haematol Pol 2017;48(3):212-216.

Keywords

Knee aloplasty
Rotating-hinge type prosthesis
Haemophilia
Ankylosis

Authors

Jerzy Mirosław Jaworski
Adam Zawojski
Joanna Zdziarska
Krzysztof Czernicki
Magdalena Wilk-Frańczuk

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