Cryoneurolysis After Total Knee Arthroplasty in Patients with Hemophilia

 

Patients with hemophilia often present for total knee arthroplasty (TKA) due to recurrent joint hematoma and subsequent joint deterioration.

Acute pain management (APM) is challenging due to coagulopathy and preexisting chronic pain in up to 84% of this population.2  Patients often experience prolonged post-surgical pain (PPSP) but continuous PNBs are discouraged due to risk of hematoma formation.

Ultrasound-guided percutaneous cryoneurolysis (USGPC) hasn’t been described in these patients for TKA