Hemophilia increases risk of bleeding and thromboembolism after total shoulder arthroplasty
Kelan L. Queenan, Tarek Haj Shehadeh, Andrew H. Kim, Nathan S. Lanham, Gary F. Updegrove · 2026
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Description
Queenan and colleagues compared in 2026 shoulder replacement outcomes for patients with hemophilia against matched patients without it, using a large multi-center health record database. Hemophilia impairs blood clotting, and surgery on such patients is delicate: clotting factor treatment and arm rest after surgery can, oddly, raise the risk of dangerous clots. Records were analyzed with patients matched on other health conditions.
Within ninety days, patients with hemophilia were readmitted more often and needed revision surgery more often than controls. They also suffered more bleeding problems and more clotting events, including leg and lung clots and strokes, plus more pneumonia, kidney injury, and urinary infections, and used more opioid pain relief. Joint infection rates, by contrast, did not differ. The authors urge studies on preparing these patients better before surgery.
Catalog record
| CREATOR | Kelan L. Queenan, Tarek Haj Shehadeh, Andrew H. Kim, Nathan S. Lanham, Gary F. Updegrove |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 17 KB |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |