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Haemophilia is a group of coagulation disorders inherited in an X-linked recessive pattern.
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Nearly three-quarters of all haemorrhages in haemophilia occur in the musculoskeletal system, usually in the large muscles and joints of the lower extremity.
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While prevention of bleeding with active prophylaxis is the recommended optimal therapy for severe haemophilia, there are many patients suffering from musculoskeletal system complications subsequent to uncontrolled bleeding.
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Recombinant clotting factor concentrates led to home treatment of acute bleeding episodes as well as allowing for minor and major surgical interventions.
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Avoiding of further complications by radiosynoviorthesis is the first-line recommendation, and arthroplasty is regarded as the effective salvage procedure for patients presenting with severe disability.
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Physiotherapy and rehabilitation in haemophilia patients are important to return the normal status of joint motion, to regain the muscle strength, to obtain the optimal functional levels and to improve patients’ quality of life.
Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180068
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Clínica Alemana, Santiago, Chile
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conservatively with physical therapy and the use of orthoses. FKFD exceeding 10 degrees may lead to anterior knee pain, decreased endurance, and progressive crouch gait in ambulatory patients, and with respect to wheelchair users, this deformity may impair
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weeks. Initial physiotherapy is not recommended. 80 Schmale et al published a randomized controlled trial regarding physical therapy following a paediatric supracondylar humeral fracture. The author found no differences between groups with respect
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exercises of the knee after surgery. Physical therapy is performed from the second week after surgery. Full weight-bearing is permitted six weeks post-operatively and sporting activities after four to six months. Return to play is allowed once the lesion has
