Short-term and mid-term outcome of total ankle replacement in haemophilic patients

Foot Ankle Surg. 2014 Dec;20(4):285-92. doi: 10.1016/j.fas.2014.08.004. Epub 2014 Aug 19.

Abstract

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.

MeSH terms

  • Adult
  • Aged
  • Arthralgia / surgery
  • Arthrodesis
  • Arthroplasty, Replacement, Ankle*
  • Factor VIII / therapeutic use
  • Follow-Up Studies
  • Hemarthrosis / etiology
  • Hemarthrosis / surgery*
  • Hemophilia A / complications*
  • Hemophilia B / complications*
  • Humans
  • Middle Aged
  • Pain Measurement
  • Physical Therapy Modalities
  • Postoperative Complications
  • Reoperation
  • Retrospective Studies
  • Young Adult
  • von Willebrand Diseases / complications*

Substances

  • F8 protein, human
  • Factor VIII