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Comparison of total ankle replacement and ankle arthrodesis in patients with haemophilia using gait analysis: two case reports.

Authors :
Dauty M
Gross R
Leboeuf F
Trossaert M
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.

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