A 5-year-old boy who was a known case of severe Hemophilia A sustained a Type III supracondylar humerus fracture following a fall while running. The child received factor VIII replacement perioperatively, and a closed reduction and percutaneous pinning procedure was performed; the K-wires were removed after three weeks without any complications. At the 3-year follow-up, the child achieved excellent functional recovery with good cosmesis and radiological union. This case highlights that meticulous perioperative care, multidisciplinary involvement, and standard surgical fixation techniques under factor VIII coverage, even in children with severe hemophilia A, result in favourable outcomes. • Safe surgical fixation was achieved in a child with severe Hemophilia A. • Factor VIII optimization enabled stable hemostasis during surgery. • Full, painless elbow function was maintained at 3-year follow-up. • Demonstrates the feasibility of surgery for fractures in hemophilia in limited-resource settings.
Rangasamy et al. (Wed,) studied this question.