Recurrent, spontaneous bleeding is common in patients with hemophilia. The joints are commonly and repeatedly affected, and this can result in chronic synovitis and joint damage. Synoviorthesis or synovectomy are indicated after failure of appropriate medical management. Hemostasis in the perioperative period is paramount in these patients. We report a case study of a patient with hemophilia A inhibitors undergoing open synovectomy complicated by postoperative bleeding. In addition to an infusion of bypassing agents due to the presence of inhibitors, a topical hemostatic agent, FLOSEAL, and absorbable Gelfoam were applied. Hemostasis was achieved rapidly. The patient recovered without complications.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Tuberculous osteo-arthritis unmasked through unusual elbow swelling: A case report.
Int J Surg Case Rep
January 2025
University of Tunis El Manar, Tunis Faculty of Medicine, 1007, Tunisia; Department of Orthopedic Surgery, Hospital Mongi Slim La Marsa, Tunisia.
Introduction And Importance: Tuberculous osteoarthritis, a rare condition affecting the elbow in 1-5 % of cases, poses diagnostic challenges due to its subtle clinical presentation, often resulting in delayed diagnosis. Herein, we present a case of tuberculous osteoarthritis involving the elbow joint. Our aim is to underscore the complexities associated with diagnosing this condition and to emphasize the critical importance of early recognition and appropriate management strategies for optimal patient outcomes.
View Article and Find Full Text PDFChronic intractable nontuberculous mycobacterial-infected wound after acupuncture therapy in the elbow joint: A case report.
World J Clin Cases
December 2024
Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Institute, Daejeon 35365, South Korea.
Background: Musculoskeletal (NTM) infections are rare, particularly post-acupuncture therapy, and present diagnostic challenges due to their infrequency and potential severity. Prompt recognition and appropriate management are crucial for optimal outcomes. NTM-infected wounds involving the joints are difficult to treat, and only a few cases have been reported.
View Article and Find Full Text PDFCo-occurrence of Pigmented Villonodular Synovitis and Patellar Clunk Syndrome Following Total Knee Arthroplasty: A Case Report.
Cureus
November 2024
Orthopaedic Surgery, The University of Alabama at Birmingham, Birmingham, USA.
Pigmented villonodular synovitis (PVNS) is an uncommon hyperproliferative disease of the synovium presenting either as localized or a more aggressive diffuse form. Its occurrence following total knee arthroplasty (TKA) is rare, and its presentation alongside patellar clunk syndrome (PCS) has not been previously reported. We present a case of a 64-year-old female patient diagnosed with diffuse PVNS (D-PVNS) two and half years following TKA, co-occurring with PCS.
View Article and Find Full Text PDFArthroscopic Management of Pigmented Villonodular Synovitis of the Hip: A Systematic Review.
J Clin Med
October 2024
Department of Pediatric Orthopaedic Surgery, Ospedale Infantile Regina Margherita, University of Turin, Piazza Polonia, 94, 10126 Turin, Italy.
: Pigmented villonodular synovitis (PVNS) is a benign proliferation of synovial tissue that can cause joint damage. The hip, although less commonly affected than the knee, presents a challenging diagnosis and treatment, with magnetic resonance imaging (MRI) as the gold standard for detection. Surgical excision, arthroscopic or open, is the main treatment approach, but there is no consensus on the best strategy for the hip.
View Article and Find Full Text PDFIsolated synovial chondromatosis of the ankle: A case report.
Int J Surg Case Rep
October 2023
Tunis Manar university, Tunisia.
Introduction And Importance: At the age of 20, young adults are most susceptible to synovial chondromatosis, a rare condition characterized by the metaplasia of the synovial membrane into cartilaginous or osteocartilaginous tissue. Synovial chondromatosis is exceptionally uncommon in the ankle.
Case Presentation: An orthopedist evaluated a 26-year-old man with a history of recurring ankle trauma over a period of 6 months, swelling and pain.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!