The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Shoulder Arthroplasty in Hemophilia

Document Type : In Brief

Authors
E. Carlos RODRIGUEZ-MERCHAN 1
Hortensia De la Corte-Rodriguez 2
Samuel Antuña 1
Primitivo Gomez-Cardero 1
M. Teresa Alvarez-Roman 3
Victor Jimene-Yuste 3
1 Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain
2 Department of Physical and Rehabilitation Medicine, La Paz University Hospital, Madrid, Spain
3 Department of Hematology, La Paz University Hospital, Madrid, Spain
10.22038/abjs.2024.80320.3667
Abstract
The aim of this article is to perform a review of the literature on the current status of shoulder arthroplasty in people with hemophilia (PWH). A search was conducted in PubMed on December 8, 2024, using the keywords “hemophilia” and “shoulder arthroplasty.”  To date only 4 articles (84 shoulder arthroplasties) in PWH have been published.  A recent study with level 3 of evidence has found that five-year implant survival was similar in PWH (97.3%) than in matched controls (95.2%) suggesting that total shoulder arthroplasty (TSA) survivorship endures lasting and might be proposed to PWH. However, the high risks of both 90-day bleeding complication and venous thromboembolism (VTE) in PWH stressed the special dares of scrupulously weighing factor replacement and VTE prophylaxis pre-, intra-, and postoperatively on an individual patient basis with cautious hematologist coordination.
        Level of evidence: III
Keywords
Hemophilia
Prosthetic survival
Results
Shoulder
Shoulder arthroplasty
Subjects
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The Archives of Bone and Joint Surgery
Volume 13, Issue 3
March 2025
Pages 164-169

  • Receive Date 09 June 2024
  • Revise Date 08 December 2024
  • Accept Date 09 December 2024