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Surgical management of hemophilic arthropathy.

We reviewed the preoperative, intraoperative, and postoperative care of hemophilic patients, our experience with specific surgical procedures, and provided a cost-benefit analysis of joint replacement and synovectomy. The advent of factor VIII concentrates to control bleeding has enabled us to offer surgical options to hemophiliacs similar to those offered to patients with normal coagulation mechanisms. The appearance of the AIDS virus, however, has further complicated the care of hemophiliacs with severe arthropathy.