{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T11:00:56Z","timestamp":1790593256428,"version":"4.1.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Elbow arthroscopy is a treatment option for advanced symptomatic arthropathy with few outcomes reported in the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study determines the safety and short to long-term outcome of therapeutic elbow arthroscopy in haemophilic arthropathy of the elbow.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing arthroscopy between 2005 and 2023 were included. Patients were treated by a multidisciplinary team comprising orthopaedic surgeon, haematologists, physiotherapists and allied professionals. All patients were assessed pre-operatively, intra-operatively and post-operatively with pain, range of motion (ROM), Haemophilia Joint Health Score (HJHS) and EQ5D.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen elbows in 13 patients were managed with arthroscopy for symptomatic haemophilic arthropathy. Mean age was 44.1\u2009\u00b1\u200913.1 years. The median follow-up was seven years. Intra-operatively, flexion-extension and prono-supination improved by 35\u00b0 and 26\u00b0, respectively. This gradually deteriorated with time, returning to pre-operative levels at approximately 2\u20135 years. HJHS improved by 2.5 points at six months, 1.67 at 12 months and returned to pre-operative levels at 2\u20135 years. EQ-VAS score deteriorated by 10.5 points at six months but improved by 19.1 at 12 months, by 10.1 at 2 years and by 14.4 at five years. There were no perioperative complications, the commonest complication was recurrence of stiffness, and two required arthroplasty in long term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Therapeutic arthroscopy is safe in advanced haemophilic elbow arthropathy. It shows potential benefit for function and quality of life in the short to medium term. Though there is a 33% risk of further surgery within 10 years, it should be considered an important adjunct to the multidisciplinary musculoskeletal care pathway in haemophilic elbow arthropathy, especially amongst a young patient cohort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17585732261416333","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T06:20:18Z","timestamp":1770704418000},"page":"1104-1115","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Haemophilic elbow arthropathy treated with therapeutic arthroscopy \u2013 A haemophilia tertiary centre experience"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0739-0537","authenticated-orcid":false,"given":"Rory FL","family":"Hammond","sequence":"first","affiliation":[{"name":"Royal Free Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibidumo","family":"Igah","sequence":"additional","affiliation":[{"name":"Royal Free Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5962-7647","authenticated-orcid":false,"given":"Paul","family":"McLaughlin","sequence":"additional","affiliation":[{"name":"Royal Free Hospital"},{"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6022-7027","authenticated-orcid":false,"given":"Luyang","family":"Xu","sequence":"additional","affiliation":[{"name":"Imperial College London Faculty of Engineering, London, UK of Great Britain and Northern Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratima","family":"Chowdary","sequence":"additional","affiliation":[{"name":"Royal Free Hospital"},{"name":"University College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"Ahrens","sequence":"additional","affiliation":[{"name":"Royal Free Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14046"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.15256\/joc.2011.1.2"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200106073442307"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2007.01493.x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2008.01882.x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2147\/JBM.S446204"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14025"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2012.02833.x"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14792"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12899"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2007.01518.x"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13008"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2008.01750.x"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759030-00001"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(97)90124-9"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/23259671221137863"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fjs.2015.09.003"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2012.02927.x"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00043426-200309000-00010"},{"key":"e_1_3_2_22_2","first-page":"71","article-title":"Radiological and clinical evaluation of hemophilic arthropathy in Egyptian patients","volume":"68","author":"Abdelwahab M","year":"2010","unstructured":"Abdelwahab M, Elsayed N. 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