Role of Arthroscopic Debridement of Hemophilic Ankles

Biçer, Elcil Kaya; Kayaokay, Kemal; Alsina, Andac Celasun; Günay, Hüseyin; Kavaklı, Kaan; Aydoğdu, Semih

doi:10.1177/1071100718779079

Cited by 4 publications

(5 citation statements)

References 33 publications

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“…However, four patients (4/88, 4.5%) required ankle arthrodesis at a later date 40,42 . Regarding the complication rate, the figures were 0%, 41 6.6%, 42 12.2% 43 and 20.8%, 40 respectively. In other words, complications occurred in seven (7.9%) of the 88 arthroscopic ankle debridement procedures reported in the four series that quantified them 40–43 .…”

Section: Resultsmentioning

confidence: 96%

“…All four published series on arthroscopic ankle debridement reported good outcomes 40–43 (Table 3). However, four patients (4/88, 4.5%) required ankle arthrodesis at a later date 40,42 . Regarding the complication rate, the figures were 0%, 41 6.6%, 42 12.2% 43 and 20.8%, 40 respectively.…”

Section: Resultsmentioning

confidence: 97%

“…All four published series on arthroscopic ankle debridement reported good outcomes [40][41][42][43] (Table 3). However, four patients (4/88, 4.5%)…”

Section: Arthroscopic Debridementmentioning

confidence: 97%

“…[40][41][42][43] Table 3 summarises the primary outcomes and complications of the case series published in the literature on arthroscopic debridement of the ankle in PWH. [40][41][42][43]…”

Section: Arthroscopic Debridementmentioning

confidence: 99%

“…In other words, complications occurred in seven (7.9%) of the 88 arthroscopic ankle debridement procedures reported in the four series that quantified them. [40][41][42][43] Table 3 summarises the primary outcomes and complications of the case series published in the literature on arthroscopic debridement of the ankle in PWH. [40][41][42][43]…”

Section: Arthroscopic Debridementmentioning

confidence: 99%

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Arthroscopic ankle surgery in people with haemophilia

Rodriguez‐Merchan,

De la Corte‐Rodriguez,

Gomez‐Cardero

et al. 2024

Haemophilia

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IntroductionPeople with haemophilia (PWH) not administered primary haematological prophylaxis since childhood, that is, those treated haematologically on demand or not treated at all, often experience the degeneration of the ankles, leading to pain and functional impairment.AimTo analyse the outcomes and complications of arthroscopic ankle surgery performed on PWH.MethodsFor this narrative review of the literature, a search was conducted in PubMed on 2, December 2023, using the keywords “haemophilia”, “ankle” and “arthroscopy”. Of the 29 articles identified, 15 specifically related to ankle arthroscopy in PWH were selected (inclusion criterion). The remaining articles did not meet this requirement (exclusion criterion) and were therefore eliminated.ResultsArthroscopic procedures (arthroscopic synovectomy, debridement and arthrodesis of the ankle) are increasingly used in the surgical treatment of haemophilic ankle arthropathy. Although arthroscopic ankle surgery offers good outcomes in patients with haemophilia, the procedure is not free of complications, which range from 7.9% for arthroscopic ankle debridement to 13.1% in arthroscopic ankle synovectomy and 17.8% in arthroscopic ankle arthrodesis, respectively. The non‐union rate of arthroscopic ankle arthrodesis is 7.1% (2/28).ConclusionAlthough arthroscopic interventions in the haemophilic ankle (synovectomy, debridement, arthrodesis) offer good functional outcomes, they are associated with a non‐negligible rate of complications. Arthroscopic ankle surgery in PWH is major surgery and should be treated as such.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 97%

“…All four published series on arthroscopic ankle debridement reported good outcomes [40][41][42][43] (Table 3). However, four patients (4/88, 4.5%)…”

Section: Arthroscopic Debridementmentioning

confidence: 97%

“…[40][41][42][43] Table 3 summarises the primary outcomes and complications of the case series published in the literature on arthroscopic debridement of the ankle in PWH. [40][41][42][43]…”

Section: Arthroscopic Debridementmentioning

confidence: 99%

Section: Arthroscopic Debridementmentioning

confidence: 99%

See 3 more Smart Citations

Arthroscopic ankle surgery in people with haemophilia

Rodriguez‐Merchan,

De la Corte‐Rodriguez,

Gomez‐Cardero

et al. 2024

Haemophilia

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Comparison of analgesic consumption of hemophilic and non-hemophilic patients in knee arthroplasty

Canbolat

Dinç

Koltka

et al. 2022

Ulus Travma Acil Cerrahi Derg

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Perioperative Management and Outcomes in Children with Hereditary Bleeding Disorder: a Retrospective Review at a Singl e Hemophilia Treatment Center

Chon

Cho

Park

2020

Clin Pediatr Hematol Oncol

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Background: Establishing hemostasis for surgical procedures in children with hereditary bleeding disorders is challenging. We evaluated the results of surgical procedures in children with hereditary bleeding disorders at our center and reviewed the preoperative management and hemorrhagic complications.Methods: We conducted a retrospective electronic medical record review from October 2006 to September 2019. Children with hereditary bleeding disorders who had elective surgeries or emergency operations were identified by an electronic record search. The primary focus was a review of clotting factor replacement strategies and bleeding complications.Results: In total, 126 elective procedures and 4 emergency surgeries were performed on 95 children at our center. Of the 95 children, hemophilia A, hemophilia B, von Willebrand disease, and factor VII deficiency were 74, 15, 4, and 2, respectively. The main disease distribution of procedures was 99 with hemophilia A, 24 with hemophilia B, and 4 with von Willebrand disease. Procedures included various orthopedic surgeries (87/130, 66.9%), placement or revision of a central venous catheter (8/130, 6.2%), and otolaryngology procedures (7/130, 5.4%). All patients received preoperative clotting factor replacement followed by various postoperative clotting factor replacement regimens. Thirteen procedures (10.0%) in five children were performed in the presence of high titers of clotting factor inhibitors. No deaths or life-threatening bleeding occurred after any procedure. Nine of the 130 procedures (6.9%) were complicated by postoperative bleeding. Tonsillectomy and adenoidectomy were the most common procedures complicated by hemorrhage (3/5, 60%). Conclusion:Surgical procedures are safe in children with hereditary bleeding disorders with adequate preparation and replacement of clotting factors. Bleeding remains a problem in a subset of patients and requires ongoing hematological involvement and oversight. Delayed bleeding following tonsillectomy was particularly common and suggests a need for close follow-up and ongoing factor administration for this group of patients.

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Role of Arthroscopic Debridement of Hemophilic Ankles

Abstract: Level IV, retrospective case series.

Cited by 4 publications

References 33 publications

Arthroscopic ankle surgery in people with haemophilia

Arthroscopic ankle surgery in people with haemophilia

Comparison of analgesic consumption of hemophilic and non-hemophilic patients in knee arthroplasty

Perioperative Management and Outcomes in Children with Hereditary Bleeding Disorder: a Retrospective Review at a Singl e Hemophilia Treatment Center

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