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The Journal of Bone and Joint Surgery, Vol 69, Issue 2 264-269, Copyright © 1987 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Synovectomy of the elbow in young hemophilic patients

T Le Balc'h, M Ebelin, Y Laurian, T Lambert, F Verroust and MJ Larrieu

Synovectomy of twenty-three elbows was done in eighteen patients, eight to twenty-five years old, who had severe hemophilia and were followed for eighteen to seventy months. Episodes of bleeding recurred in four elbows, and moderate pain persisted in three. A significant improvement in mobility was observed for pronation-supination in nine elbows and for flexion-extension in fourteen. No radiographic evidence of arthritis was seen. Synovectomy of the elbow, performed through a single lateral incision, appears to be a valuable surgical procedure in hemophiliacs in whom non-operative treatment has failed, and resection of the radial head should be done in adults when there is moderate or severe damage to the cartilage of the radial head.
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S. Kamineni, R. A. Adams, S. W. O'Driscoll, and B. F. Morrey
Hemophilic Arthropathy of the Elbow Treated by Total Elbow Replacement. A Case Series
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