The knowledge regarding the management of complications related to
orthopaedic surgery in Haemophilia is still limited due to the lack of published data and
several concerns about the possible catastrophic damage to patients. A quote of 12% to
17% of haemophilic patients need a hospital admission to undergo orthopaedic surgery
and more than one procedure is often needed for some subjects. Complications in
haemophilic patients occur from 2% to 66% and are strictly related to the severity of
disease, type of orthopaedic procedure, and patient comorbidities.
Bleeding, haematoma, wound complications, infection, inhibitors development, deep
venous thromboembolism, and intraoperative fractures are the most frequently reported
complications. The management of complications of the orthopaedic surgery in
haemophiliacs is a challenging task, requiring complex treatment performed in a highly
specialized centre by a multidisciplinary team.
Keywords: Bleeding, Complications, Fractures Haemophilia, Haematoma,
Infection, Inhibitors, Orthopaedic surgery.
