Ankle arthroplasty in a patient with bleeding diathesis and the mid-term clinical outcome of the case

Abstract

PurposeThe purpose of this report was to present the case of a patient with bleeding diathesis on whom we performed ankle arthroplasty for the first time.Materials and methodsA 29-year old male patient with bleeding diathesis, who had been treated and followed up over a long period, underwent ankle arthroplasty because of osteoarthritis of the ankle. The patient was prepared for surgery by the haematology department in accordance with the guidelines for surgical preparation, diagnosis and management of haemophilia. After ankle arthroplasty was performed, the preoperative and two-year postoperative clinical outcomes were evaluated using a subjective foot score and Maryland foot score.ResultsPreoperative factor VIII levels were raised to the target level of haemostasis prior to the surgical procedure. The factor VIII levels were maintained within the normal range up to postoperative day 14. The subjective foot score of the patient was 40 preoperatively and 85 postoperatively, whereas their Maryland foot scores were 33 preoperatively and 90 postoperatively. Both scoring systems indicate an excellent clinical outcome.ConclusionAs observed, the early and mid-term functional outcomes are promising for patients with bleeding diathesis who undergo ankle arthroplasty.

Total Ankle Replacement in Hemophilia

“…TAR in patients without hemophilia gives quite variable results, and complications are frequent. Although some successful series have been published showing a range of motion amelioration, pain improvement and functional amelioration in a high rate of patients, the frequency of adverse events and revisions, and the percentage of infection were not so satisfying [ 2 , 9 , 12 - 21 , 23 , 24 ].…”

Ayak Bileği Artrodezinde Farklı Üç Tekniğin Uzun Dönemli Sonuçları

“…Sıklıkla post-travmatik nedenlerle ve inflamatuar hastalıklara bağlı olarak sekonder osteoartrit görülmektedir. 5,6 Ayak bileği artrodezinde (ABA) alt ekstremite biyomekaniğinin değişmesine bağlı diğer eklemlerde osteoartritik değişiklikler olmasına ve ayak bileği salınım fazının düzgün olmamasından kaynaklı yürüme problemlerinin görülmesine rağmen ABA'nın klinik olarak semptomatik rahatlama sağladığı gösterilmiştir. ABA internal ve eksternal fiksasyon yöntemleri ile yapılabilmektedir.…”