The management of a failed orthopaedic implant is potentially complex in
haemophilic patients. Several critical aspects have to be considered ranging from a
tailored haematological care and rehabilitative period to high technically demanding
surgical procedures and type of implants needed for the management of the
compromised joint. Hip and knee are the most involved joints needing a substitution
after a prosthetic failure. All these interventions are delicate and expensive, particularly
when the failure is not a simple aseptic loosening but it is represented by an infection
or a case with severe bone defects, pseudotumours, and soft tissue mortification. Only
specific facilities and specialized teams may be able to manage such these conditions in
a safe manner.
Keywords: Ankle arthroplasty, Aseptic loosening, Haemophilia, Hip arthroplasty,
Infection, Knee arthroplasty, Revision, Salvage surgery.