Total hip arthroplasty for hemophilic arthropathy of the hip: A rare presentation with excellent functional outcome: A case report

Abstract

Hemophilic arthropathy is a well-recognized complication of hemophilia, most frequently involving the knees, ankles, and elbows. Hip joint involvement is uncommon and rarely reported. We present the case of a 47-year-old man with hemophilia A who developed end-stage degenerative arthropathy of the left hip, leading to severe pain and marked functional limitation. After failure of conservative treatment, the patient underwent total hip arthroplasty (THA) with optimized perioperative factor VIII replacement and interdisciplinary management. At final follow-up, the patient demonstrated excellent clinical and functional outcomes, with significant improvement in validated functional scores and no perioperative or late complications. This case highlights the hip as an atypical but clinically relevant site of hemophilic arthropathy and supports THA as a safe and effective treatment option when combined with meticulous hematologic control and structured rehabilitation.