Managing Surgical Risks in Hemophilic Elbow Arthropathy: An In-Depth Case Study and Literature Review

Author:

Pasta Gianluigi1,Annunziata Salvatore1ORCID,Ruggieri Roberta1,Abruzzi Dario1,Arrigoni Paolo1,Jannelli Eugenio123ORCID,Benazzo Francesco12,Pedrotti Luisella3ORCID,Viola Erika Maria4,Rodriguez-Merchan Emérito Carlos5ORCID,Mosconi Mario123

Affiliation:

1. Orthopedics and Traumatology Clinic, IRCCS Policlinico San Matteo Foundation, 27100 Pavia, Italy

2. Sezione di Chirurgia Protesica ad Indirizzo Robotico-Unità di Traumatologia dello Sport, U.O. Ortopedia e Traumatologia Fondazione Poliambulanza, 25124 Brescia, Italy

3. Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy

4. Centre for Health Technologies, University of Pavia, 27100 Pavia, Italy

5. Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, 28046 Madrid, Spain

Abstract

This study presents a detailed case analysis of a 40-year-old male patient with hemophilia A and severe chronic elbow arthropathy, exploring the surgical challenges and outcomes within the context of the current literature. The patient, with a history of multiple comorbidities including Hodgkin’s lymphoma and cardiomyopathy, exhibited significant joint damage and functional impairment. A comprehensive approach was employed, collecting all relevant clinical data, including radiographic and MRI findings, to inform treatment decisions. Clinical findings and treatment decisions are presented as they occurred in real time, simulating the clinical reasoning process. Subsequent references to the clinical and instrumental findings as well therapeutic interventions are discussed in light of the current literature to reinforce the decision-making framework. This report underscores the importance of multidisciplinary care in optimizing patient outcomes and contributes to the ongoing discourse on the management of advanced musculoskeletal conditions in hemophilic patients. The findings emphasize the necessity for early intervention and specialized care to mitigate complications and improve long-term prognosis.

Publisher

MDPI AG

Reference69 articles.

1. Haemophilic Arthritis;Madhok;Ann. Rheum. Dis.,1991

2. Prophylaxis versus Episodic Treatment to Prevent Joint Disease in Boys with Severe Hemophilia;Abshire;N. Engl. J. Med.,2007

3. A Longitudinal Study of Orthopaedic Outcomes for Severe Factor-VIII-Deficient Haemophiliacs;Aledort;J. Intern. Med.,1994

4. Hemophilic Arthropaty of the Upper Limb;Ludlam;Clin. Orthop. Relat. Res.,1987

5. Hemophilic Arthropaty in the Elbow;Gilbert;Mt. Sinai J. Med. N. Y.,1977

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