دورية أكاديمية
[Progress on surgical treatment for hemophiliac arthropathy].
العنوان: | [Progress on surgical treatment for hemophiliac arthropathy]. |
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المؤلفون: | Shen SN; The First Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China., Wu DX; The First Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China., Tong PJ; The First Clinical Medical College of Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang, China. |
المصدر: | Zhongguo gu shang = China journal of orthopaedics and traumatology [Zhongguo Gu Shang] 2021 Sep 25; Vol. 34 (9), pp. 820-5. |
نوع المنشور: | Journal Article |
اللغة: | Chinese |
بيانات الدورية: | Publisher: |
أسماء مطبوعة: | Publication: Beijing : "Zhongguo gu shang" bian ji bu Original Publication: Beijing : Zhongguo Zhong yi yan jiu yuan gu shang ke yan jiu suo |
مواضيع طبية MeSH: | Hemophilia A*/complications , Joint Diseases* , Synovitis*, Arthrodesis ; Humans ; Synovectomy ; Treatment Outcome |
مستخلص: | Surgical treatment is the main treatment for hemophilia arthritis, including synoviectomy, joint replacement and joint fusion. Synoviectomy is suitable for early hemophilia synovitis, and is divided into radiation, chemical, arthroscopy, and open operation. Radionuclides were recommended as the first choice due to its positive efficacy and less side effects, but exsit some problems such as scarcity of nuclides. Chemical synoviectomy is cheap and easy to operate, which is suitable for developing countriesm, while mutiple doses and pain after injection are main fault. Synoviectomy under arthroscope has a significant effect on the advanced lesion, but has a higher surgical risk. Open surgery with severe trauma and postoperative joint stiffness, is rarely performed. Joint replacement could effectively improve range of motion in advanced patients and is suitable for joints with high range of motion. Arthrodesis are effective in improving symptoms but lead to loss of range of motion and are suitable for joints with low range of motion. Operation for hemophilia arthritis has some problems, such as single operation, untimely diagnosis and treatment in early stage, and unsatisfactory curative effect in late stage. In addition, the treatment of hemophilia arthritis should focus on the early treatment, the formation of the whole process, the system of individual treatment concept. |
فهرسة مساهمة: | Keywords: Arthritis; Hemophilia; Review; Surgical procedured, opertaive |
تواريخ الأحداث: | Date Created: 20210927 Date Completed: 20210928 Latest Revision: 20210928 |
رمز التحديث: | 20231215 |
DOI: | 10.12200/j.issn.1003-0034.2021.09.006 |
PMID: | 34569205 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1003-0034 |
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DOI: | 10.12200/j.issn.1003-0034.2021.09.006 |