Managing Surgical Risks in Hemophilic Elbow Arthropathy: An In-Depth Case Study and Literature Review
This study presents a detailed case analysis of a 40-year-old male patient with hemophilia A and severe chronic elbow arthropathy, exploring the surgical challenges and outcomes within the context of the current literature. The patient, with a history of multiple comorbidities including Hodgkin's lymphoma and cardiomyopathy, exhibited significant joint damage and functional impairment. A comprehensive approach was employed, collecting all relevant clinical data, including radiographic and MRI findings, to inform treatment decisions. Clinical findings and treatment decisions are presented as they occurred in real time, simulating the clinical reasoning process. Subsequent references to the clinical and instrumental findings as well therapeutic interventions are discussed in light of the current literature to reinforce the decision-making framework. This report underscores the importance of multidisciplinary care in optimizing patient outcomes and contributes to the ongoing discourse on the management of advanced musculoskeletal conditions in hemophilic patients. The findings emphasize the necessity for early intervention and specialized care to mitigate complications and improve long-term prognosis.
Authors
- Paolo Arrigoni (ORCID: https://orcid.org/0000-0002-8273-9823)
- Salvatore Annunziata (ORCID: https://orcid.org/0000-0003-3850-2156)
- E. Carlos Rodríguez‐Merchán (ORCID: https://orcid.org/0000-0002-6360-0113)
- Mario Mosconi (ORCID: https://orcid.org/0000-0002-4104-323X)
- Gianluigi Pasta (ORCID: https://orcid.org/0000-0002-1919-5130)
- Eugenio Jannelli (ORCID: https://orcid.org/0000-0003-4447-1480)
- Francesco Benazzo (ORCID: https://orcid.org/0000-0001-5152-1082)
- Erika Maria Viola
- Luisella Pedrotti (ORCID: https://orcid.org/0000-0003-4157-533X)
- Dario Abruzzi
- Roberta Ruggieri (ORCID: https://orcid.org/0000-0003-2620-5170)
Institutions
- University of Pavia (IT)
- Fondazione Poliambulanza Istituto Ospedaliero (IT)
- Policlinico San Matteo Fondazione (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
Publication Details
- Journal
- Healthcare
- Published
- 2024-09-05
- DOI
- https://doi.org/10.3390/healthcare12171776
- Citations
- 3
- Primary Topic
- Hemophilia Treatment and Research
- Type
- article
- Field-Weighted Citation Impact
- 1.36