7 Orthopedic management principles in hemophilia

7 orthopedic management principles in hemophilia are must know for all orthopedic practitioners.

Post and Telfer in 1975, enlisted these 7 principles. These are

1. As many procedures at one surgical session the patient can tolerate
2.  Meticulous aseptic technique and pneumatic tourniquets whenever possible
3. Tight, careful wound closure to avoid dead space
4. Avoidance of electrocautery – coagulated areas may slough after surgery
5. Wound suction in deep wounds for minimum of 24 hours
6. No aspirin or any platelet inhibitors postoperatively
7. No intramuscular injections postoperatively

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External Links

1. Pubmed– Post and Telfer