SU869760A1 - Method of treating hemophilic joints - Google Patents

Description

(54) METHOD FOR TREATING HEMOPHILIC HEMARTHROSES

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This invention relates to the field of medicine, namely surgery.

There is a method of treating hemophilic hemarthrosis by introducing blood products into the joint 1.

However, this method is possible adhesions in the joint.

The aim of the invention is to prevent joint adhesions.

This is achieved by the method of treating hemophilic hemarthrosis by introducing blood products into the joint, evacuating the blood that has poured into the joint, then introducing anti-hemophilic concentrated plasma at the rate of 1/4 of the volume of excreted blood and starting the development of movements in the joint days after puncture.

The method is carried out as follows.

A standard dry anti-hemophilic plasma in a 150 ml vial is diluted with 50-75 ml of saline. Then, according to the generally accepted method, the joint is punctured. A syringe is used to maximize the blood flowed into the joint, and, without removing the needles, into the joint cavity

Concentrated anti-hemophilic plasma is administered at the rate of 1/4 of the volume of the extracted blood. After the needles are removed, an aseptic pressing belt is applied. The limb is immobilized with a gypsum langeta. A cold is applied locally for 1-2 days. After 5-7 days, they begin to passively develop movements in the joint. After a month, a dosed load is applied to the joint. This method of treatment is performed on the background of general antihemophilic therapy.

Example. Patient B., 7 years old, was on treatment in the clinical

15 hospital. Clinical diagnosis: hemophilia, post-hemorrhagic anemia, hemarthrosis of the left knee joint. Upon admission, an increase in the circumference of the left knee sy20 by 4.5 cm was noted, its tenderness on palpation, restriction of movements. Free fluid was detected in the knee joint.

A puncture of the left knee joint was made, 40 ml of dark blood was removed, 10 ml of concentrated antihemophilic plaque were injected into the joint. Aseptic pressure dressing is applied, the back plaster splint. In the future, until discharge from

thirty

stationary, bleeding in the joint cavity was not observed.

The development of joint movements started after 7 days. Discharged from the hospital in good condition for treatment at the place of residence.

Example 2: Patient A :, 9 years old, was treated in a hospital. Clinical diagnosis: hemophilia, hemarthrosis of the left knee joint. An objective examination indicated a restriction of movements in the left knee joint: flexion to angle 70, extension to angle 145. The joint was enlarged due to the presence of fluid in it. A puncture of the left knee joint was made, 35 ml of blood was evacuated, 10 ml of concentrated antihemophilic plasma was injected into the joint cavity. Aseptic protective dressing and a posterior plaster splint are applied. With further observation of bleeding in the joint cavity was not observed. The development of movements started after 7 days. Movement restored almost in full (70-175). The dosed load is allowed after one month. The patient was discharged in good condition from the hospital.

The proposed method provides an effective arrest of bleeding in the joint in patients with hemophilia immediately after the administration of concentrated antihemophilic plasma.

prevents the development of arthrogenic contractures. To implement the proposed method, available standard anti-hemophilic plasma is used, in contrast to the known method — direct transfusion of donor blood. The proposed method allows to start the development of movements in the joint after stopping the bleeding in 5-7 days and restore its function.

Claims (1)

1. Valkadov V.V. About treatment of post-traumatic hematomas in patients with hemophilia. - Orthopedists, traumatologists and prosthetics, 11, 1978, p. 68-69.