Total Hip Arthroplasty in Hemophilic Patients: are their Results Similar to those of Nonhemophilic Patients?

Document Type : In Brief

Author

Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain

10.22038/abjs.2024.76984.3555

Abstract

Total hip arthroplasty (THA) is the mainstay therapy for patients with terminal hemophilic arthropathy
of the hip. However, the largest case series published between 2017 and 2023 in the literature on THA 
in patients with hemophilia have found a higher 1-year infection rate (8.1% versus 3.4%) in hemophilia 
patients than in the general population, a higher rate of in-hospital bleeding complications (38.7% 
versus 16.1%), a higher length of stay (6 days versus 3 days) and a higher 30 -day readmission rate 
(22.6% versus 4.1%). Finally, a lower 5-year survival rate has also been observed in hemophilia 
patients than in the general population (91.9% versus 95.3%). In the last decade there have been 
dramatically positive improvements in implant designs and hematological treatment, and therefore it 
does not seem that THA in hemophilia is so far from that in osteoarthritic patients.
 Level of evidence: III

Keywords

Main Subjects


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