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Table 1 General characteristics of the patients

From: Surgical treatment for patients with hemophilic pseudotumor-related femoral fracture: a retrospective study

Patient (No.)

Age

Diagnosis

Severity

Fracture location

Type of treatment

Follow-up (months)

Outcome

1

46

HA

Severe

L shaft

CREF

6

Pin infection after 3 months combined with visible adequate callus, and inhibitor developed after 4 months; patient refused further intervention. Died due to severe bleeding and infection 6 months later

2

23

HA

Severe

L distal

HPT excision, ORIF

83

Bone union, no HPT recurrence

3

44

HA

Moderate

R shaft

CREF

61

Pin infection after 2 weeks, treated with dressing change and discontinuous use of antibiotics, was not resolved until fixation failure. Fixation failed with fracture nonunion after 13 months

R shaft (revision)

HPT excision, ORIF

HPT recurrence, plate broken 3 months after ORIF

R shaft

High-thigh amputation

No HPT recurrence

4

20

HA

Moderate

R shaft

HPT excision, ORIF, allogeneic cortical strut graft

30

Bone union, no HPT recurrence

5

31

HB

Severe

L distal

HPT excision, ORIF, allogeneic cortical strut graft

31

Bone union, no HPT recurrence

6

38

HA

Severe

L shaft

High-thigh amputation

45

No HPT recurrence

7

26

HB

Moderate

L shaft

Left hip disarticulation, HPT excision in the right thigh

77

HPT recurrence after 3 months in the right thigh, femoral fracture caused by HPT compression after 4 years

R shaft

R high-thigh amputation

No HPT recurrence

8

11

HB

Moderate

R distal

HPT curettage, allogeneic cancellous bone graft, immobilization with brace

27

Bone union, no HPT recurrence

9

28

HA

Severe

R distal

HPT excision, autogenous cortical strut bone graft, allogeneic cortical strut bone graft, screw fixation alone

29

Bone union, thigh HPT recurrence after 1 year was treated with coagulation factor replacement without further progress. Tibial shaft fracture resulted from trauma 1 year later, was treated with ORIF

10

48

HA

Moderate

R shaft

HPT excision, ORIF

8

Visible adequate callus was observed, no HPT recurrence

  1. HA hemophilia A, HB hemophilia B, HPT hemophilic pseudotumor, ORIF open reduction internal fixation, CREF closed reduction external fixation, R right, L left