Avascular Necrosis of the Talus in Children with Haemophilia

Kemnitz, Stefan; Moens, Pierre; Peerlinck, Katelijne; Fabry, Guy

doi:10.1097/01202412-200201000-00012

Cited by 8 publications

(7 citation statements)

References 14 publications

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“…The talus is the third most common site of idiopathic osteonecrosis, after the femoral head and femoral condyle 23 . This condition is reportedly caused by frequent use of corticosteroids [24][25][26] , heavy consumption of alcohol 27 , systemic lupus erythematosus 27 , hemophilia 28,29 , and severe acute respiratory syndrome 30 ; however, in many patients, no cause is evident.…”

Section: Discussionmentioning

confidence: 99%

An Alumina Ceramic Total Talar Prosthesis for Osteonecrosis of the Talus

Taniguchi

Takakura

Tanaka

et al. 2015

The Journal of Bone and Joint Surgery

132

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Background: Treatment of osteonecrosis of the talus is challenging. Total talar replacement has the potential to restore the function of the ankle joint without an associated leg-length discrepancy. The purpose of the present study was to investigate postoperative function and pain after total talar replacement in patients with osteonecrosis of the talus.Methods: Fifty-five ankles in fifty-one consecutive patients with osteonecrosis of the talus who were treated with a total talar replacement from 2005 to 2012 were included in the investigation. Scores according to the Japanese Society for Surgery of the Foot (JSSF) ankle-hindfoot scale and the Ankle Osteoarthritis Scale (AOS) were assessed before surgery and at the final follow-up evaluation.Results: According to the JSSF ankle-hindfoot scale, the score for pain improved from a mean (and standard deviation) of 15 ± 9.4 points (range, 0 to 20 points) to 34 ± 5.6 points (range, 20 to 40 points); the score for function, from 21.2 ± 9.7 points (range, 4 to 38 points) to 45.1 ± 4.0 points (range, 37 to 50 points); the score for alignment, from 6.0 ± 2.8 points (range, 5 to 10 points) to 9.8 ± 0.9 points (range, 5 to 10 points); and the total score, from 43.1 ± 17.0 points (range, 11 to 68 points) to 89.4 ± 8.4 points (range, 76 to 100 points). According to the AOS scale, the score for "pain at its worst" improved from a mean of 6.1 ± 3.3 points (range, 0 to 9.9 points) to 2.0 ± 1.7 points (range, 0 to 6.3 points).Conclusions: Prosthetic talar replacement is a useful procedure for patients with osteonecrosis of the talus as it maintains ankle function.

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Section: Discussionmentioning

confidence: 99%

An Alumina Ceramic Total Talar Prosthesis for Osteonecrosis of the Talus

Taniguchi

Takakura

Tanaka

et al. 2015

The Journal of Bone and Joint Surgery

132

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“…1,18,19,29 Atraumatic etiology for AVN includes corticosteroid treatment, alcoholism, coagulopathies, systemic lupus erythematosus, scleroderma, diabetes mellitus, or multiple sclerosis or is simply idiopathic. 7,10,25…”

mentioning

confidence: 99%

Salvage of Avascular Necrosis of the Talus by Combined Ankle and Hindfoot Arthrodesis Without Structural Bone Graft

et al. 2014

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“…Advanced hemophilic arthropathy of the ankle may also result in a plantar flexion deformity. The deformity results from a combination of the contracture of the posterior capsule of the ankle and retraction of the achilles tendon and collapse of the dome of the talus, due to osteonecrosis and cartilage deterioration [4]. Ribbans and Phillips developed a combined clinical and radiographic scoring system, specifically for hemophilic ankle arthropathy, which is helpful in deciding definitive treatment [5].…”

Section: Type 3‐ Arthrosis Of the Anklementioning

confidence: 99%

The ankle joint

Llinás¹

2010

Haemophilia

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Avascular Necrosis of the Talus in Children with Haemophilia

Cited by 8 publications

References 14 publications

An Alumina Ceramic Total Talar Prosthesis for Osteonecrosis of the Talus

An Alumina Ceramic Total Talar Prosthesis for Osteonecrosis of the Talus

Salvage of Avascular Necrosis of the Talus by Combined Ankle and Hindfoot Arthrodesis Without Structural Bone Graft

The ankle joint

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