Case Report - Simultaneous bilateral total knee arthroplasty in a subject with severe haemophilia A

 C. Carulli, S. Linari, R. Civinini, M. Innocenti

Haemophilia is a rare blood disorder leading to haemorrhages and haemartrosis, and causing the so-called haemophilic arthropathy. Knees, ankles, elbows, and hips are the target joints. Knee arthropathy is specifically the most frequent and particularly debilitating for young haemophiliacs. Total Knee Arthroplasty is the gold standard of treatment in severe cases without relief after conservative treatments. A 51-year-old man affected by severe type-A Haemophilia was treated with a bilateral simultaneous Total Knee Replacement. Surgery was performed under prophylaxis with recombinant factor VIII, antibiotics, and general anaesthesia, after a careful multidisciplinary evaluation and full information to the patient. The outcomes were very good to the complete satisfaction of the patient at almost 10 years after surgery. To date, it represents the first long-term report about a simultaneous bilateral Total Knee Arthroplasty in our country in a haemophilic patient and one of the very few successful and uncomplicated cases in literature...