Total Hip Arthroplasty in Hemophilic Patients: are their Results Similar to those of Nonhemophilic Patients?

Total hip arthroplasty (THA) is the mainstay therapy for patients with terminal hemophilic arthropathyof the hip. However, the largest case series published between ۲۰۱۷ and ۲۰۲۳ in the literature on THA in patients with hemophilia have found a higher ۱-year infection rate (۸.۱% versus ۳.۴%) in hemophilia patients than in the general population, a higher rate of in-hospital bleeding complications (۳۸.۷% versus ۱۶.۱%), a higher length of stay (۶ days versus ۳ days) and a higher ۳۰ -day readmission rate (۲۲.۶% versus ۴.۱%). Finally, a lower ۵-year survival rate has also been observed in hemophilia patients than in the general population (۹۱.۹% versus ۹۵.۳%). In the last decade there have been dramatically positive improvements in implant designs and hematological treatment, and therefore it does not seem that THA in hemophilia is so far from that in osteoarthritic patients. Level of evidence: III