vicious cycle of multiple invasive treatments in a hemophilic inhibitor positive child with resistant knee flexion contracture, a case report

Authors

amir reza kachooei department of orthopedic surgery massachusetts general hospital, 55 fruit street boston, ma, 02114 usa.

zahra badiei department of pediatric hematology-oncology dr sheikh pediatric hospital mashhad university of medical sciences, mashhad, iran.

mohammad e zandinezhad department of pediatric hematology-oncology dr sheikh pediatric hospital mashhad university of medical sciences, mashhad, iran.

abstract

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.

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Journal title:
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