shoulder arthroplasty in hemophilia

The aim of this article is to perform a review of the literature on the current status of shoulder arthroplasty in people with hemophilia (pwh). a search was conducted in pubmed on december 8, 2024, using the keywords “hemophilia” and “shoulder arthroplasty.”  to date only 4 articles (84 shoulder arthroplasties) in pwh have been published.  a recent study with level 3 of evidence has found that five-year implant survival was similar in pwh (97.3%) than in matched controls (95.2%) suggesting that total shoulder arthroplasty (tsa) survivorship endures lasting and might be proposed to pwh. however, the high risks of both 90-day bleeding complication and venous thromboembolism (vte) in pwh stressed the special dares of scrupulously weighing factor replacement and vte prophylaxis pre-, intra-, and postoperatively on an individual patient basis with cautious hematologist coordination.