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A case study from South Western India emphasises the importance of novel treatment options in cases of haemophilia with inihibitors in the context of a need for surgery
Figure 1.
X-rays of right leg (A/P) lateral view, showing closed tibia-fibula (transverse) shaft fracture (left) and interlocking nail post-surgery (right)
Figure 2.
Plan of action for management of perioperative haemostasis
PT: Prothrombin time aPTT: Activated partial thromboplastin time CBC: Complete blood count FFP: Fresh frozen plasma POD: Postoperative day
Figure 3.
Haemophilia Joint Health Score (HJHS) for right knee and right ankle
Figure 4.
Haemophilia Joint Health Score (HJHS) for left knee and left ankle
Figure 5.
Timeline showing significant episodes in the patient’s history, and treatment and management following a right closed tibia-fibula (transverse) shaft fracture