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.
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: firstname.lastname@example.org
Investigation performed at Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
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