Total Hip Arthroplasty in Hemophilic Arthritis: A Case Report
10.4055/jkoa.1978.13.4.549
- Author:
In Ho CHOI
;
Myung Ho KIM
;
Duk Young LEE
- Publication Type:Case Report
- MeSH:
Anemia, Hemolytic;
Arthritis;
Arthroplasty;
Arthroplasty, Replacement, Hip;
Factor VII;
Hemophilia A;
Humans;
Immunosuppressive Agents;
Sepsis;
Wounds and Injuries
- From:The Journal of the Korean Orthopaedic Association
1978;13(4):549-559
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Total hip arthroplasty was performed on a 32 year old man with hemophilia A. A series of complications were encountered; namely, femoral shaft fracture during arthroplasty, hemolytic anemia, Factor VII inhibition, pseudotumor formation and wound dehiscence and sepsis as a result of shortage of cryoprecipitate supply, and general debilitation and septicemia from fhe use of immunosuppressive agents, finally leading to death 67 days after operation. Initially, 399 bottles of cryoprecipitate (each containing approximately 100 units of Factor VII) were anticipated. In practice, however, a total of 660 bottles and packs had been consumed on the patient when the supply was exhausted. Total hip arthroplasty can be carried out on hemophilia patients, provided that the planning be impeccable and the supply of antihemophilic factor virtually unlimited.
