32-187

Tratamiento de la artropatía crónica hemofílica mediante inyecciones intraarticulares de cortisona

Treatment of chronic haemophilic arthropathy by intraarticular injection of cortisone

F. FERNÁNDEZ PALAZZI, 0. A. DIB y R. DEL VECCHIO Unidad de Ortopedia del Centro Nacional de Hemofilia y Servicio de Cirugía Ortopédica.Hospital San Juan de Dios. Caracas (Venezuela).
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008


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Resumen (ES)

Thirty four patients with chronic haemophilic arthropathy (25 grade III and 9 grade IV), having all axial deformities, muscular atrophy, and limitation of range of motion in the joint (31 knees, 2 ankles and 2 shoulders) were injected intrarticulary at 3 weeks interval with a long standing cortisone from 1 to 9 injections. Subjective and objective evaluation parameters were assessed considering as good no pain, increase range of motion and normal activity of daily life; fair with less pain, same range of motion and slight diminution of activity of daily life; and bad with persistence of pain, less range of motion and greater diminution of activity. We obtained in subjective evaluation 19 good results, 12 fair, and 4 bad; in objective evaluation we obtained 22 good results, 9 fair, and 4 bad. In conclusion, intrarticular cortisone seems to be a reliable treatment of chronic haemophilic arthropathy.

Palabras clave (ES):

Inyección
Intraarticular
Cortisona
Sinovitis
Infiltración
Corticoide
Hemofilia
Tratamiento
Artropatía
Hemofílica

Resumen (EN)

Thirty four patients with chronic haemophilic arthropathy (25 grade III and 9 grade IV), having all axial deformities, muscular atrophy, and limitation of range of motion in the joint (31 knees, 2 ankles and 2 shoulders) were injected intrarticulary at 3 weeks interval with a long standing cortisone from 1 to 9 injections. Subjective and objective evaluation parameters were assessed considering as good no pain, increase range of motion and normal activity of daily life; fair with less pain, same range of motion and slight diminution of activity of daily life; and bad with persistence of pain, less range of motion and greater diminution of activity. We obtained in subjective evaluation 19 good results, 12 fair, and 4 bad; in objective evaluation we obtained 22 good results, 9 fair, and 4 bad. In conclusion, intrarticular cortisone seems to be a reliable treatment of chronic haemophilic arthropathy.

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