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Acute Compartment Syndrome After Knee Synovectomy in a Patient with Hemophilia A

A Case Report

Baghdadi, Soroush MD1; Baghdadi, Taghi MD1; Ayati Firoozabadi, Mohammad MD1; Toogeh, Gholamreza MD1; Mortazavi, S.M. Javad MD1

doi: 10.2106/JBJS.CC.18.00402
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Disclosures

Case: A 19-year-old man with severe hemophilia A underwent open surgical synovectomy to treat recurrent hemarthrosis of the knee. He developed symptoms and signs of acute compartment syndrome (ACS) despite receiving full-dose factor replacement. Arthrotomy was performed twice, and massive hemarthrosis was evacuated. The symptoms subsided after supplementing clotting factor with prednisone.

Conclusions: ACS may complicate hemophilia. Diagnosis is mainly based on clinical judgment. Proper factor replacement is the mainstay of treatment. Surgery is reserved for patients with no improvement following factor administration.

1Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran

E-mail address for S. Baghdadi: baghdadi.soroush@gmail.com

Investigation performed at Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A850).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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