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The possibilities are discussed of the surgical treatment in haemophiliac arthropathies. The cases that have been treated totalled 11 patients with type A haemophilia and one patient with type B haemophilia. The treatment was aimed either at an arrest of deterioration in the involved joint (in the early, I and II stages), or at correcting the vicious positions that had developed in the late stages (III and IV).

The paper report on the case of a patient, who on the background of an A type hemophilia, suffering from hemophilic arthropathy, of the elbow and knee, presents bilateral luxation of the radius head. The major difficulties of the surgical treatment, the risks of the haemorrhagic complications and the long postsurgery evolution are discussed.

The authors have operated on 13 haemophilic joints. The operation included 5 knee synovectomies of the knee, 2 corrective osteotomies, 4 soft tissue procedures on the knee or foot (tendon lengthening, capsulotomy), 1 arthrodesis of knee and 1 excision of heterotopic ossification. The type of operation needed varied with the degree of involvement. Indications for associated haematological treatment are given. The indications were both preventive and curative. The results were gratifying, although two cases of post-operative infection were seen.