Ankle arthropathy in the haemophilic patient: a description of a novel ankle arthrodesis technique.
The ankle joint is well known to show early involvement in severe haemophilia. We describe a novel operative technique developed by the senior author. This combines a medial approach to the ankle, medial malleolar osteotomy, bone graft and compression with staples. All patients had excellent pain relief and improvement in function with 100% achieving bony union. There was a significant improvement in Mazur ankle scores following ankle fusion (P < 0.01). This surgical technique gives good results which are reproducible in this patient population.
Mann
H A
HA
The Royal Free Hospital, London, UK. hamann@hotmail.com
Biring
G S
GS
Choudhury
M Z B
MZ
Lee
C A
CA
Goddard
N J
NJ
D000328:Adult; D000843:Ankle Joint / Q000503:physiopathology / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods; D006395:Hemarthrosis / Q000503:physiopathology / Q000601:surgery*; D006467:Hemophilia A / Q000150:complications*; D002836:Hemophilia B / Q000150:complications*; D006801:Humans; D008297:Male; D020127:Recovery of Function / Q000502:physiology; D016896:Treatment Outcome