TY - JOUR ID - 2086 TI - Vicious Cycle of Multiple Invasive Treatments in a Hemophilic Inhibitor Positive Child with Resistant Knee Flexion Contracture, A Case Report JO - The Archives of Bone and Joint Surgery JA - ABJS LA - en SN - 2345-4644 AU - Kachooei, Amir Reza AU - Badiei, Zahra AU - Zandinezhad, Mohammad E AD - Department of Orthopedic Surgery Massachusetts General Hospital, 55 Fruit Street Boston, MA, 02114 USA. AD - Department of Pediatric Hematology-Oncology Dr Sheikh Pediatric Hospital Mashhad University of Medical Sciences, Mashhad, Iran. Y1 - 2013 PY - 2013 VL - 1 IS - 2 SP - 116 EP - 119 KW - Arthroscopy KW - Hemophilia A KW - Inhibitor KW - Knee flexion contracture KW - Manipulation under anesthesia KW - Radiosynovectomy KW - Supracondylar fracture DO - 10.22038/abjs.2013.2086 N2 -   Uncontrolled recurrent hemarthrosis can end to contracture, deformity, pain, joint destruction and gait disorders which are disabling. We are going to report a challenge, a unilateral knee flexion contracture in a child with severe hemophilia A and inhibitor who underwent different treatment options with unsatisfactory improvement of knee range of motion. Mismanaging postoperatively, patient and parents irresponsibility in managing self-care, lack of access and affordability to treatment and unavailability of proper treatment can be the reasons of recurrence in addition to the tough nature of a patient with inhibitor.   UR - https://abjs.mums.ac.ir/article_2086.html L1 - https://abjs.mums.ac.ir/article_2086_9595866e71cf21bbc7423dafe656ddd4.pdf ER -