title: Arthroscopic ankle arthrodesis in hemophilic arthropathy.
abstract: BACKGROUND
  Ankle arthrodesis is an accepted treatment for patients with advanced disabling tibiotalar arthritis, mostly in osteoarthritis, rheumatoid, and posttraumatic arthritis. No detailed reports have been published regarding the use of arthroscopy for the treatment of the end-stage hemophilic ankle. The purpose of this article is to report the results of arthroscopic ankle arthrodesis in hemophilic arthropathy of the ankle.
  
  
  METHODS
  Ten patients (10 ankle joints) who underwent arthroscopically assisted ankle arthrodesis for the treatment of end-stage hemophilic A arthritis were enrolled in this study. The rate of ankle fusion, incidence of complications, and clinical rating by the Morgan system were analyzed.
  
  
  RESULTS
  In this series, the fusion rate was 100%, and patients achieved bone fusion as shown by radiographs. The average time to fusion was 10.5 weeks. Superficial wound infection occurred in 1 patient. According to the Morgan system, there were 8 (80%) good to excellent results and 2 (20%) fair results. All patients were satisfied with the outcome of the operation.
  
  
  CONCLUSIONS
  Arthroscopic ankle arthrodesis was an effective alternative to open technique with established advantages in hemophilic arthropathy.
  
  
  METHODS
  Level IV, retrospective case series.
authors.affiliation: Department of Orthopedics, Shandong University, Jinan, China.
authors.forename: Zhengwu
authors.initials: Z
authors.lastname: Bai
authors.forename: Enshui
authors.initials: E
authors.lastname: Zhang
authors.forename: Yeteng
authors.initials: Y
authors.lastname: He
authors.forename: Xinfeng
authors.initials: X
authors.lastname: Yan
authors.forename: Huaqiang
authors.initials: H
authors.lastname: Sun
authors.forename: Ming
authors.initials: M
authors.lastname: Zhang
mesh_terms: D000328:Adult; D000843:Ankle Joint / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D005260:Female; D006467:Hemophilia A / Q000097:blood / Q000150:complications*; D006801:Humans; D007592:Joint Diseases / Q000097:blood* / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: ankle; arthrodesis; arthroscopy; hemophilia