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Ankle arthropathy in the haemophilic patient: a description of a novel ankle arthrodesis technique
Author(s) -
MANN H. A.,
BIRING G. S.,
CHOUDHURY M. Z. B.,
LEE C. A.,
GODDARD N. J.
Publication year - 2009
Publication title -
haemophilia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.213
H-Index - 92
eISSN - 1365-2516
pISSN - 1351-8216
DOI - 10.1111/j.1365-2516.2008.01651.x
Subject(s) - medicine , ankle , ankle arthrodesis , haemophilia , bony union , arthrodesis , osteotomy , surgery , internal fixation , alternative medicine , pathology
Summary. 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.