van der Heide H J L, Nováková I, de Waal Malefijt M C
Department of Orthopaedic Surgery, Radboud University, Nijmegen, The Netherlands.
Haemophilia. 2006 Nov;12(6):679-82. doi: 10.1111/j.1365-2516.2006.01350.x.
The standard treatment for end-stage arthropathy of the ankle joint in haemophilia has been fusion of the ankle joint. Total ankle replacement is used in osteoarthritis and especially in rheumatoid arthritis with good medium-term results. In this case series three patients are being described, in which a total of five total ankle replacements have been preformed. After a median follow up of 4.3 years (range 1-8.7) all prostheses were still in place and did not show any signs of loosening. Clinical scores showed a good to excellent result. In this small series total ankle replacement in patients with bleeding disorders show promising results. Further studies are needed to show the value of this relatively new type of surgery in haemophilic patients.
血友病性踝关节终末期关节病的标准治疗方法一直是踝关节融合术。全踝关节置换术用于骨关节炎，尤其是类风湿性关节炎，中期效果良好。在本病例系列中，描述了三名患者，共进行了五次全踝关节置换术。中位随访4.3年（范围1 - 8.7年）后，所有假体仍在位，未显示任何松动迹象。临床评分显示结果良好至优秀。在这个小系列中，出血性疾病患者的全踝关节置换术显示出有前景的结果。需要进一步研究来证明这种相对新型的手术在血友病患者中的价值。
