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

Dauty, M; Gross, R; Leboeuf, FY; Trossaert, M

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. 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.

Citation

Dauty, M., Gross, R., Leboeuf, F., & 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, 768. https://doi.org/10.1186/s13104-015-1763-y

• Journal Article Type: Article
• Acceptance Date: Nov 27, 2015
• Online Publication Date: Dec 10, 2015
• Publication Date: Dec 10, 2015
• Deposit Date: Oct 5, 2018
• Publicly Available Date: Oct 5, 2018
• Journal: BMC Research Notes
• Publisher: Springer Verlag
• Volume: 8
• Pages: 768
• DOI: https://doi.org/10.1186/s13104-015-1763-y
• Keywords: Arthrodesis,Gait analysis,Haemophilia,Total ankle replacement,arthrodesis,gait analysis,haemophilia,total ankle replacement
• Publisher URL: https://doi.org/10.1186/s13104-015-1763-y
• Related Public URLs: https://bmcresnotes.biomedcentral.com/