Patient: Description of condition (time of onset, main symptoms, hospital visited, etc.): Hello doctor! I have hemophilia A (coagulation factor VIII deficiency) (1) – I have had several bleeding episodes in my left hip since 2005, and I have not received several transfusions of coagulation factors in time to protect it. (2) – Can I recover from a heel lengthening surgery if I have a contracture of the left heel joint caused by bleeding and swelling when I was a child and cannot walk on my heel? (My left ankle joint is not stiff now, I can sway from side to side, I can land on my heel when I sit down, but I can’t land on my heel when I stand up, and it doesn’t hurt if I press down on my heel, but I still can’t land on my heel, I just feel a tight tug from my heel to the top). I look forward to your reply, thank you! Orthopedic surgeon: Judging from your description and the film, the diagnosis of hemophilic arthritis should be established. The lesion of the femoral head is obvious, and surgery can be performed to replace the joint, and Achilles tendon lengthening surgery can also solve the problem of the heel not being able to reach the ground. However, surgery for hemophiliacs needs to be performed under high dose factor 8 protection, so the cost of perioperative surgery will be high. Patient: Thank you for your reply! What is the typical total cost for a hip replacement (the best kind of joint material)? (How long will it last without accidents? If the prosthetic joint is no longer usable, can it be replaced? And is there a general medical insurance reimbursement for the cost of the prosthetic joint? Hospital orthopedic surgeon: The cost of a hip replacement should be between 40,000 and 45,000. If the prosthesis is used for a long time, it will wear out and can be replaced again, but the surgery will be much more difficult. The medical insurance will reimburse for the prosthesis, and the regulations vary from place to place. Our hospital pays 15% first, and then reimburses according to the reimbursement ratio (80-95%). Patient: Thank you for your reply!