Arthroscopic partial anterior synovectomy of the knee on patients with haemophilia

Verfasser / Beitragende:
[Adriano de Almeida, Marcia de Rezende, Felippi Cordeiro, Paula Villaça, Elbio D'Amico, Arnaldo Hernandez, Gilberto Camanho]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/3(2015-03-01), 785-791
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-013-2706-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-013-2706-6 
245 0 0 |a Arthroscopic partial anterior synovectomy of the knee on patients with haemophilia  |h [Elektronische Daten]  |c [Adriano de Almeida, Marcia de Rezende, Felippi Cordeiro, Paula Villaça, Elbio D'Amico, Arnaldo Hernandez, Gilberto Camanho] 
520 3 |a Purpose: This study assessed the results of two-portal knee arthroscopic synovectomy in terms of bleeding recurrence, knee function, quality of life (QOL), and radiographic staging in a prospective case series of patients with haemophilia. Methods: Nine knees from eight patients (median age 16.1years; range 9.6-25years) with haemophilia and recurrent knee haemarthrosis were prospectively evaluated. Yearly recurrence of bleeding was evaluated once a year for 5years postoperatively. Range of motion (ROM) and radiographic staging, as well as results of the short form (SF)-36 and subjective knee form of the International Knee Documentation Committee (IKDC) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaires, were evaluated before surgery and at the end of follow-up. Results: Mean bleeding recurrence was significantly reduced during the 5-year follow-up period. Questionnaire results showed significant improvements (IKDC P=0.015, WOMAC P=0.011, and SF-36 P=0.023), whereas ROM was not significantly affected. Arthropathy progressed from Arnold-Hilgartner radiographic stage III to stage IV (P=0.0082). Conclusions: Two-portal knee arthroscopic synovectomy was effective at reducing bleeding recurrence and improving knee function and QOL in patients with haemophilia, but did not interrupt the progression of radiographic changes. Level of evidence: Case series, Level IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2013 
690 7 |a Arthroscopy  |2 nationallicence 
690 7 |a Haemophilia  |2 nationallicence 
690 7 |a Knee  |2 nationallicence 
690 7 |a Synovectomy  |2 nationallicence 
690 7 |a Surgery  |2 nationallicence 
690 7 |a Arthritis  |2 nationallicence 
700 1 |a de Almeida  |D Adriano  |u Department of Orthopedics and Traumatology, São Paulo University Medical School, Rua Dr. Ovídio Pires de Campos, 333 Cerqueira Cesar, 05403-010, São Paulo, SP, Brazil  |4 aut 
700 1 |a de Rezende  |D Marcia  |u Department of Orthopedics and Traumatology, São Paulo University Medical School, Rua Dr. Ovídio Pires de Campos, 333 Cerqueira Cesar, 05403-010, São Paulo, SP, Brazil  |4 aut 
700 1 |a Cordeiro  |D Felippi  |u Department of Orthopedics and Traumatology, São Paulo University Medical School, Rua Dr. Ovídio Pires de Campos, 333 Cerqueira Cesar, 05403-010, São Paulo, SP, Brazil  |4 aut 
700 1 |a Villaça  |D Paula  |u Department of Hematology, Hemophilia Center, São Paulo University Medical School, Av Dr. Eneas de Carvalho Aguiar, 155, 1st Floor. Cerqueira César, 05403-000, São Paulo, SP, Brazil  |4 aut 
700 1 |a D'Amico  |D Elbio  |u Department of Hematology, Hemophilia Center, São Paulo University Medical School, Av Dr. Eneas de Carvalho Aguiar, 155, 1st Floor. Cerqueira César, 05403-000, São Paulo, SP, Brazil  |4 aut 
700 1 |a Hernandez  |D Arnaldo  |u Department of Orthopedics and Traumatology, São Paulo University Medical School, Rua Dr. Ovídio Pires de Campos, 333 Cerqueira Cesar, 05403-010, São Paulo, SP, Brazil  |4 aut 
700 1 |a Camanho  |D Gilberto  |u Department of Orthopedics and Traumatology, São Paulo University Medical School, Rua Dr. Ovídio Pires de Campos, 333 Cerqueira Cesar, 05403-010, São Paulo, SP, Brazil  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/3(2015-03-01), 785-791  |x 0942-2056  |q 23:3<785  |1 2015  |2 23  |o 167 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a de Almeida  |D Adriano  |u Department of Orthopedics and Traumatology, São Paulo University Medical School, Rua Dr. Ovídio Pires de Campos, 333 Cerqueira Cesar, 05403-010, São Paulo, SP, Brazil  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a de Rezende  |D Marcia  |u Department of Orthopedics and Traumatology, São Paulo University Medical School, Rua Dr. Ovídio Pires de Campos, 333 Cerqueira Cesar, 05403-010, São Paulo, SP, Brazil  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Cordeiro  |D Felippi  |u Department of Orthopedics and Traumatology, São Paulo University Medical School, Rua Dr. Ovídio Pires de Campos, 333 Cerqueira Cesar, 05403-010, São Paulo, SP, Brazil  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Villaça  |D Paula  |u Department of Hematology, Hemophilia Center, São Paulo University Medical School, Av Dr. Eneas de Carvalho Aguiar, 155, 1st Floor. Cerqueira César, 05403-000, São Paulo, SP, Brazil  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a D'Amico  |D Elbio  |u Department of Hematology, Hemophilia Center, São Paulo University Medical School, Av Dr. Eneas de Carvalho Aguiar, 155, 1st Floor. Cerqueira César, 05403-000, São Paulo, SP, Brazil  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hernandez  |D Arnaldo  |u Department of Orthopedics and Traumatology, São Paulo University Medical School, Rua Dr. Ovídio Pires de Campos, 333 Cerqueira Cesar, 05403-010, São Paulo, SP, Brazil  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Camanho  |D Gilberto  |u Department of Orthopedics and Traumatology, São Paulo University Medical School, Rua Dr. Ovídio Pires de Campos, 333 Cerqueira Cesar, 05403-010, São Paulo, SP, Brazil  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/3(2015-03-01), 785-791  |x 0942-2056  |q 23:3<785  |1 2015  |2 23  |o 167