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

Dauty, M, Gross, R, Leboeuf, FY ORCID: and Trossaert, M 2015, 'Comparison of total ankle replacement and ankle arthrodesis in patients with haemophilia using gait analysis : two case reports' , BMC Research Notes, 8 , p. 768.

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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.
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.
CONCLUSIONS: Total ankle replacement is recommended for haemophiliac patients who present with a preserved ankle range of motion.

Item Type: Article
Uncontrolled Keywords: Arthrodesis,Gait analysis,Haemophilia,Total ankle replacement,arthrodesis,gait analysis,haemophilia,total ankle replacement
Schools: Schools > School of Health and Society
Journal or Publication Title: BMC Research Notes
Publisher: BioMed Central
ISSN: 1756-0500
Related URLs:
Depositing User: Dr Fabien LEBOEUF
Date Deposited: 05 Oct 2018 12:59
Last Modified: 08 May 2019 15:16

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