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Comparison of total ankle replacement and ankle arthrodesis in patients with haemophilia using gait analysis: two case reports.
- Source :
-
BMC research notes [BMC Res Notes] 2015 Dec 10; Vol. 8, pp. 768. Date of Electronic Publication: 2015 Dec 10. - Publication Year :
- 2015
-
Abstract
- Background: Severe hemophilia is an inherited, lifelong bleeding disorder characterized by spontaneous bleeding, which results in painful joint deformities. Currently two surgical treatments are available to treat haemophilia-related ankle joint destruction: ankle arthrodesis and total ankle replacement. The aim of the present study was to compare these two surgical procedures in haemophiliac subjects.<br />Case Presentation: Kinematic and dynamic parameters were quantified using a three-dimensional gait-analysis system in two similar clinical cases. In Caucasian case 1, ankle arthrodesis was chosen because of a kinematic ankle flexion defect and lack of dynamic power regeneration. The defect in energy absorption was compensated for by the contralateral side. Total ankle replacement in Caucasian case 2 allowed sparing the ipsilateral knee (maximum 0.27 preoperatively vs. 0.71 W/kg postoperatively) and hip joints powers (maximum 0.43 preoperatively vs. 1.25 W/kg postoperatively) because of the small ankle dorsiflexion motion.<br />Conclusions: Total ankle replacement is recommended for haemophiliac patients who present with a preserved ankle range of motion.
- Subjects :
- Adult
Ankle Joint physiopathology
Biomechanical Phenomena
Humans
Joint Diseases complications
Joint Diseases physiopathology
Male
Range of Motion, Articular
Treatment Outcome
Ankle Joint surgery
Arthrodesis methods
Arthroplasty, Replacement, Ankle methods
Gait
Hemophilia A complications
Joint Diseases surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1756-0500
- Volume :
- 8
- Database :
- MEDLINE
- Journal :
- BMC research notes
- Publication Type :
- Academic Journal
- Accession number :
- 26653540
- Full Text :
- https://doi.org/10.1186/s13104-015-1763-y