Vicious Cycle of Multiple Invasive Treatments in a Hemophilic Inhibitor Positive Child with Resistant Knee Flexion Contracture, A Case Report
نویسندگان
1 Department of Orthopedic Surgery Massachusetts General Hospital, 55 Fruit Street Boston, MA, 02114 USA.
2 Department of Pediatric Hematology-Oncology Dr Sheikh Pediatric Hospital Mashhad University of Medical Sciences, Mashhad, Iran.
3 Department of Pediatric Hematology-Oncology Dr Sheikh Pediatric Hospital Mashhad University of Medical Sciences, Mashhad, Iran.
doi
10.22038/abjs.2013.2086چکیده
Uncontrolled recurrent hemarthrosis can end to contracture, deformity, pain, joint destruction and gait disorders which are disabling. We are going to report a challenge, a unilateral knee flexion contracture in a child with severe hemophilia A and inhibitor who underwent different treatment options with unsatisfactory improvement of knee range of motion. Mismanaging postoperatively, patient and parents irresponsibility in managing self-care, lack of access and affordability to treatment and unavailability of proper treatment can be the reasons of recurrence in addition to the tough nature of a patient with inhibitor.
