Case Reports
Hemostatic Matrix Application After Open Synovectomy in a Hemophilic Patient
Am J Orthop. 2012 April;41(4):179-181
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Manuel García Aríz, MD, Omar Pérez-Carrasquillo, MD, Charles E. Zierenberg, MD, Jorge Cheleuitte, MD, Jhon A. Guerra, MD, and Pedro J. Santiago-Borrero, MD
Recurrent, spontaneous bleeding is common in patients with hemophilia. The joints are commonly and repeatedly affected, and this can result in chronic synovitis and joint damage. Synoviorthesis or synovectomy are indicated after failure of appropriate medical management. Hemostasis in the perioperative period is paramount in these patients.
We report a case study of a patient with hemophilia A inhibitors undergoing open synovectomy complicated by postoperative bleeding. In addition to an infusion of bypassing agents due to the presence of inhibitors, a topical hemostatic agent, FLOSEAL, and absorbable Gelfoam were applied. Hemostasis was achieved rapidly. The patient recovered without complications.