Multidiciplinary Treatment of a Haemophilic Person with Total Hip Replacement Surgery- A Case Report

Journal Title: Macedonian Journal of Medical Sciences (MJMS) - Year 2013, Vol 6, Issue 1

Abstract

Background: Treatment of hemophilic arthropathy may be conservative and operative. Conservative therapy includes medications and physiotherapy, and surgery includes synovectomy, tendon release, capsulotomy, osteotomy and total joint arthroplasty. During physiotherapy, surgery and postoperative rehabilitation haemophiliacs need to receive clotting factor. Aim: We present our first experience in multidisciplinary treatment of a patient with severe haemophilia A during and after total hip replacement surgery, the patient’s outcome after postoperative rehabilitation treatment and 6 months later. Material and Methods: In a patient, age 28, with severe Haemophilia A, hip replacement surgery with total hip cementless prosthesis on his left hip was undertaken. Prophylaxis was done with concentrate of human coagulation factor VIII. Patient assessment was made with clinical findings, VAS for pain, Harris Hip Score for surgery outcome. Results: The postoperative rehabilitation treatment program consisted of exercise therapy, occupational therapy and education. After the rehabilitation Harris Hip Score was 79 points, and 89 after six months follow-up. Conclusion: The arthroplasty of the hip can be a valuable option in the management of severe hemophilic arthropathy. The successful outcome of replacement surgery in haemophilia depends upon a close collaboration between the orthopaedic surgeon, heamatologist/specialist of transfusion medicine, physiatrist and other team members.

Authors and Affiliations

Erieta Nikolikj-Dimitrova| Institute of Physical Medicine and Rehabilitation, Skopje, Republic of Macedonia, Antonio Gavrilovski| University Clinic for Orthopedic SurgeryUniversity Clinic for Traumatology, Orthopedic Surgery, Anesthesiology, Reanimation and Intensive Care and Emergency Center Skopje, Republic of Macedonia, Violeta Dejanova-Ilijevska| Institute of Transfusion Medicine, Skopje, Republic of Macedonia

Keywords

Related Articles

Evaluation of Different Methods for Hygienic Microbiological Control from the Working Surfaces in the Microbiological Laboratories

Background: The role of the inter-hospital non-living environment in spreading of some infections is not universally accepted attitude, but still there is a proof that in some cases it is a risk factor for causing infe...

Report on Self-Evaluation of the Faculty of Medicine in Skopje, Republic of Macedonia (2001-2002)

Background. The self-evaluation is a process that provides a realistic reflection on the work and perspectives of a higher level educational institution, such as the Faculty of Medicine in Skopje. Thus, it is necessary...

Salivary and Serum 8-Hydroxydeoxyguanosine Level in Simulated Microgravity

Background. Microgravity is associated with an increased of peroxidative. The effect is more pronounced after long duration space flight and can even last for several weeks after landing. Aim. To determine the influenc...

Nasal Tip Projection: Asymmetries after Rhinoplasty

Background: Nasal tip projection has been defined as the distance along a perpendicular line from the vertical facial plane to the most anterior projecting point of the nasal tip. The tripod concept, although an oversi...

Honey between Traditional Uses and Recent Medicine

From ancient times, honey was not only used as a natural sweetener but also as a healing agent. Many health-promoting and curative properties attributed to it are the basis for some traditional folk medicine treatments...

Download PDF file
  • EP ID EP8909
  • DOI 10.3889/MJMS.1857-5773.2013.0274
  • Views 331
  • Downloads 14

How To Cite

Erieta Nikolikj-Dimitrova, Antonio Gavrilovski, Violeta Dejanova-Ilijevska (2013). Multidiciplinary Treatment of a Haemophilic Person with Total Hip Replacement Surgery- A Case Report. Macedonian Journal of Medical Sciences (MJMS), 6(1), 59-64. https://europub.co.uk/articles/-A-8909