Publication:

A current concept review of 9 year old boy with hemophilic arthropathy

The knee is frequently affected by severe orthopedic changes known as hemophilic arthropathy (HA) in patients with deficiency of coagulation factor VIII or IX and thus this manuscript seeks to present a current perspective of the role of the orthopedist, physiotherapist and pathologist in the management of these problems. Lifelong factor replacement therapy (FRT) is optimal to prevent HA, however adherence to this rigorous treatment is challenging leading to breakthrough bleeding. In patients with chronic hemophilic synovitis, the prelude to HA, Synoviorthesis is the optimal to ameliorate bleeding, judicious physiotherapy to prevent chronic joint disease.