The Treatment of Acute Hemophilic Hemarthrosis

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Abstract
THE extreme disability that follows repeated hemorrhage into various joints is well known to those who care for adolescent and adult patients with hemophilia. The pain and limitation of motion accompanying acute hemarthrosis often lead to a chronic deformity through capsular thickening, contractures, periarticular fibrosis and secondary arthritis. Sooner or later, one or more extremities show one or more partially ankylosed joints, and the patient may become a wheelchair invalid. Typical contractures, as in the knee, may respond slowly to prolonged treatment of wedging casts, stretching, physiotherapy and braces. The social and financial loss, as well as the psychiatric disability . . .

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