Vicious Cycle of Multiple Invasive Treatments in a Hemophilic Inhibitor Positive Child with Resistant Knee Flexion Contracture, A Case Report

Document Type : CASE REPORT

Authors

1 Department of Orthopedic Surgery Massachusetts General Hospital, 55 Fruit Street Boston, MA, 02114 USA.

2 Department of Pediatric Hematology-Oncology Dr Sheikh Pediatric Hospital Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

 
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.
 

Keywords

References

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The Archives of Bone and Joint Surgery
Volume 1, Issue 2 - Serial Number 2
December 2013
Pages 116-119

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History

  • Receive Date: 09 September 2013
  • Revise Date: 05 November 2013
  • Accept Date: 20 December 2013

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