Document 0099
 DOCN  M9590099
 TI    Hip arthroplasty in hemophilic arthropathy.
 DT    9509
 AU    Kelley SS; Lachiewicz PF; Gilbert MS; Bolander ME; Jankiewicz JJ; Mayo
       Clinic, Rochester, Minnesota 55905, USA.
 SO    J Bone Joint Surg Am. 1995 Jun;77(6):828-34. Unique Identifier :
       AIDSLINE MED/95301588
 AB    As hemophilic arthropathy infrequently affects the hip joint, we
       performed a multicenter retrospective study to determine the results of
       hip arthroplasty in hemophilic patients. Thirty-four hip arthroplasties
       were performed in twenty-seven male patients at four major hemophilia
       centers from October 1972 through September 1990. Twenty-six patients
       had classic hemophilia and one had factor-IX deficiency. The mean age of
       the patients at the time of the operation was thirty-eight years (range,
       fifteen to seventy-three years). The mean duration of follow-up was
       eight years, with a minimum of two years for all patients who were still
       alive at the time of this review. Four patients were seropositive for
       the human immunodeficiency virus at the time of the operation, and
       sixteen patients were seropositive at the time of the most recent
       follow-up examination. Nine patients (33 per cent) died before the time
       of this review; seven had been seropositive for the human
       immunodeficiency virus. There were twenty-six total hip arthroplasties
       performed with cement, six total hip arthroplasties performed without
       cement, one total hip arthroplasty in which the femoral component was
       inserted with cement and the acetabular component was inserted without
       it (so-called hybrid arthroplasty), and one bipolar arthroplasty
       performed with cement. There were no early infections after these
       thirty-four primary arthroplasties. There were three late infections
       around prostheses inserted with cement, and all led to a resection
       arthroplasty. Six (21 per cent) of the twenty-eight cemented femoral
       components and six (23 per cent) of the twenty-six cemented acetabular
       components were revised because of aseptic loosening.(ABSTRACT TRUNCATED
       AT 250 WORDS)
 DE    Activities of Daily Living  Adolescence  Adult  Aged  Christmas
       Disease/COMPLICATIONS  Gait  Hemarthrosis/*SURGERY  Hip
       Joint/RADIOGRAPHY  *Hip Prosthesis/MORTALITY  Human  HIV
       Seropositivity/COMPLICATIONS  Male  Middle Age  Prosthesis Failure
       Prosthesis-Related Infections/COMPLICATIONS  Retrospective Studies
       JOURNAL ARTICLE  MULTICENTER STUDY

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