{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T11:50:31Z","timestamp":1786708231554,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,7,19]],"date-time":"2018-07-19T00:00:00Z","timestamp":1531958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Persons with haemophilia and other inherited bleeding disorders are prone to disabling joint arthropathy frequently requiring arthroplasty for end\u2010stage joint disease. Higher complication rates and more modest post\u2010operative functional outcomes have previously been described.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the clinical outcomes and patient satisfaction of persons with inherited bleeding disorders (predominantly haemophilia) undergoing total hip and knee replacement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective, single\u2010centre cohort study with longitudinal assessment of patients with inherited bleeding disorders who underwent total hip and knee replacement over a 20\u2010year period. Eligible patients were clinically assessed with Harris Hip Score (<jats:styled-content style=\"fixed-case\">HHS<\/jats:styled-content>), Knee Society Score (<jats:styled-content style=\"fixed-case\">KSS<\/jats:styled-content>), pain visual analogue scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>) and a patient satisfaction questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010one patients (48 joints) met the inclusion criteria. Mean age at surgery was 49.3\u00a0years (SD: 13.1, range 21\u201075\u00a0years) with a mean follow\u2010up of 9.33\u00a0years (1.7\u201019.3). The majority (26\/31) of patients had haemophilia A, predominantly severe haemophilia A (22\/26). Reported pain levels were low, and patient satisfaction was high. Joint\u2010specific outcome scores were \u201cgood\u201d to \u201cexcellent\u201d in 67% of total hip replacement patients and 92% of total knee replacement patients. A low complication rate was observed, with 2 patients requiring revision surgery and 4 patients requiring re\u2010operation without implant revision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arthroplasty is a reliable procedure in patients with inherited bleeding disorders with end\u2010stage hip or knee arthropathy. The overall complexity of this group is highlighted, and the need for multidisciplinary care is emphasised.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.13559","type":"journal-article","created":{"date-parts":[[2018,7,19]],"date-time":"2018-07-19T13:43:08Z","timestamp":1532007788000},"page":"786-791","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Clinical outcomes and patient satisfaction following total hip and knee arthroplasty in patients with inherited bleeding disorders: A 20\u2010year single\u2010surgeon cohort"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9690-4586","authenticated-orcid":false,"given":"J. A.","family":"Anderson","sequence":"first","affiliation":[{"name":"Orthopaedic Department Royal Brisbane and Women's Hospital  Herston Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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