Haemophilia. 2009 Mar;15(2):458-63. Epub 2009 Feb 1.

Ankle arthropathy in the haemophilic patient: a description of a novel ankle arthrodesis technique.

Mann HA, Biring GS, Choudhury MZ, Lee CA, Goddard NJ.

Source

The Royal Free Hospital, London, UK. hamann@hotmail.com

Abstract

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.

PMID:: 19187197; [PubMed - indexed for MEDLINE]

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