I have hemophilia that's under fairly good control. My left knee is a real problem. I could really use a joint replacement. What's the status of this operation for people with hemophilia?

Orthopedic surgery for joint replacement is an option for some patients with hemophilia. New drug therapy with inhibitors has allowed surgery to be done safely. It may depend on the type of missing platelet factor. The overall health of the patient can make a difference, too.

Rehab is offered before and after the operation. A preoperative rehab program is called prehabilitation. Exercises can increase motion and strength. This helps the patient get back up after surgery with faster recovery of function. It can also help minimize the risk of bleeding.

There are still problems with joint replacements for patients with hemophilia. Bleeding and infection are the biggest problems. There may be no improvement in motion.