caa a22 4500 605457999 CHVBK 20210128100226.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00167-013-2706-6 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2706-6 Arthroscopic partial anterior synovectomy of the knee on patients with haemophilia [Elektronische Daten] [Adriano de Almeida, Marcia de Rezende, Felippi Cordeiro, Paula Villaça, Elbio D'Amico, Arnaldo Hernandez, Gilberto Camanho] 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. Springer-Verlag Berlin Heidelberg, 2013 Arthroscopy nationallicence Haemophilia nationallicence Knee nationallicence Synovectomy nationallicence Surgery nationallicence Arthritis nationallicence de Almeida Adriano 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 aut de Rezende Marcia 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 aut Cordeiro Felippi 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 aut Villaça Paula 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 aut D'Amico Elbio 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 aut Hernandez Arnaldo 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 aut Camanho Gilberto 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 aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 785-791 0942-2056 23:3<785 2015 23 167 https://doi.org/10.1007/s00167-013-2706-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2706-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- de Almeida Adriano 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 aut NATIONALLICENCE 700 1- de Rezende Marcia 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 aut NATIONALLICENCE 700 1- Cordeiro Felippi 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 aut NATIONALLICENCE 700 1- Villaça Paula 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 aut NATIONALLICENCE 700 1- D'Amico Elbio 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 aut NATIONALLICENCE 700 1- Hernandez Arnaldo 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 aut NATIONALLICENCE 700 1- Camanho Gilberto 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 aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 785-791 0942-2056 23:3<785 2015 23 167