Short-term and mid-term outcome of total ankle replacement in haemophilic patients
| Autor: | J.G. Asencio, C. Leonardi, C. Biron-Andreani, J.F. Schved |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Ankle arthrodesis medicine.medical_treatment Arthrodesis Ankle replacement Hemophilia A Hemophilia B Arthroplasty Replacement Ankle Young Adult Postoperative Complications Arthropathy Hemarthrosis medicine Humans Orthopedics and Sports Medicine Physical Therapy Modalities Aged Pain Measurement Retrospective Studies Factor VIII business.industry Retrospective cohort study Middle Aged medicine.disease Arthroplasty Arthralgia Surgery von Willebrand Diseases medicine.anatomical_structure Additional Surgery Physical therapy Ankle business Follow-Up Studies |
| Zdroj: | Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. 20(4) |
| ISSN: | 1460-9584 |
| Popis: | Background Ankle arthropathy is very frequent in haemophilic patients. Prostheses are valuable alternatives to arthrodesis in non-haemophilic patients. We report the experience of a single centre in France on the use of prostheses in haemophilic patients. Methods Retrospective study of 21 patients with haemarthropathy who underwent ankle arthroplasty (32 ankles), with additional surgery, if needed, from July 2002 to September 2009 (mean follow-up 4.4±1.7 years). The American Orthopaedic Foot and Ankle Society (AOFAS) ankle–hindfoot scale was used to evaluate pain, function, ankle mobility and alignment. Results The overall AOFAS score improved from 40.2±19.4 (pre-surgery) to 85.3±11.4 (post-surgery). The function score increased from 23.6±7.7 to 35.9±6.7 and dorsiflexion from 0.3°±5.0° to 10.3°±4.4°. Two patients underwent further ankle arthrodesis. On X-ray, both tibial and talar components were stable and correctly placed in all ankles. Alignment was good. Conclusion Ankle arthroplasty is a promising alternative to arthrodesis in haemophilic patients. |
| Databáze: | OpenAIRE |
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