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Does hemophilia increase risk of adverse outcomes following total hip and knee arthroplasty? A propensity score–matched analysis of a nationwide, population-based study

Journal of Arthroplasty Jul 26, 2019

Wang SH, et al. - Risk of adverse outcomes of hemophilia patients who underwent total hip arthroplasty (THA) and total knee arthroplasty was ascertained. Using data from the National Health Insurance Research Database, researchers included a total of 121 patients with hemophilia and 194,026 patients without hemophilia. The analysis revealed higher rates of postoperative transfusion, hospital costs, and increased length of stay among hemophilia patients. An considerable clinical difference was noted in 1-year infection rates following THA. No significant differences were evident in other postoperative complications and mortality rates. As per the findings, they recommend counseling patients with hemophilia that infection rate could be as high as 8% following THA.

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