Hemophilic arthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. KHA Group Inclusion Criteria (1) Age 18-65 years; meet "Chinese Expert Consensus on Diagnosis and Treatment of Hemophilia (2021 Edition)"; confirmed hemophilia A/B diagnosis; unilateral or bilateral knee involvement (confirmed by physical exam and knee X-ray showing arthritis features, Arnold-Hilgartner score grade IV or higher); (2) Knee disease duration >=1 year; (3) No acute knee hemorrhage in the past 2 weeks; (4) Undergoing unilateral total knee arthroplasty (TKA); (5) Capable of independently completing CT examination and lower limb functional assessment. 2. KOA Group Inclusion Criteria (1) 1:1 individual matching with KHA group (matching criteria: same gender, BMI +/-2.0 kg/m^2); (2) Meet American College of Rheumatology (ACR) osteoarthritis diagnostic criteria; knee X-ray Kellgren-Lawrence (K-L) grade 3-4; (3) Knee disease duration >=1 year; (4) No acute knee pain episode in the past 2 weeks (VAS pain score <=5); (5) Capable of independently completing imaging and functional assessment.
Exclusion criteria
Exclusion criteria: 1. History of previous surgery on the same-side knee; 2. Coexisting neuromuscular diseases, spinal cord injury, or cerebral infarction; 3. Coexisting severe liver or kidney dysfunction, malignant tumors, or heart failure; 4. Inability to complete follow-up assessments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Skeletal muscle volume (MV);Skeletal muscle quality (SMF);Intermuscular adipose tissue volume (IMAT);Subcutaneous adipose tissue volume (SAT);Knee Society Score (KSS);Short Form-12 Health Survey (SF-12) score;Harris Hip Joint Score (HJHS);Active range of motion (ROM) of the knee joint; | — |
Countries
China
Contacts
The Third Affiliated Hospital of Guangzhou University of Chinese Medicine