ABSTRACT
Haemophilia is a hereditary X-linked recessive condition affecting males. Haemophilic arthropathy can manifest as a monoarticular or oligoarticular condition affecting large joints. The pathophysiological mechanisms of haemophilic arthropathy affecting the hip joint have not been accurately identified. The Arnold-Hilgartner classification is a plain radiograph grading system for haemophilic arthropathy. Working in close collaboration with a haematology team to establish the factor replacement regime, tailored to the individual patient's needs, prior to orthopaedic surgery is recommended. Specialist haemophilia nurses can play a vital role in managing patients in the orthopaedic ward during the preand postoperative periods. Preoperatively, routine haematological and biochemical analysis should be performed. In addition to thorough preoperative medical preparation of the patient, considerable attention should be given to surgical preparation. Complications from joint replacement surgery can be classified as operative and postoperative. The benefits of pain relief and improved function provided by total joint replacement make the procedure the most successful orthopaedic operation for managing chronic haemophilic arthropathy.
