Author : Doriane Pelzer
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)
Book Synopsis HAEMOPHILIC ANKLE ARTHROPATHY: CASE REPORTS AND REVIEW OF THE LITERATURE by : Doriane Pelzer
Download or read book HAEMOPHILIC ANKLE ARTHROPATHY: CASE REPORTS AND REVIEW OF THE LITERATURE written by Doriane Pelzer and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Haemophilic arthropathy (HA) is a rarely encountered condition which affects about half of the patients who suffer from haemophilia. Despite the fact that HA is one of the main morbidity factor of haemophilia and that the physiopathology of the mechanism is slowly better understood, the HA management is still under discussion.Purpose: The cases of two men (53 and 54 years old) who suffer from ankle HA since several years are reported. The radiographies show important level of cartilage destruction and articular deformity. Literature was reviewed to take stock of the different treatments.Methods: First case presented is a 53 year old man who suffers from left ankle arthropathy since about 10 years, with a symptomatology slowly evolving. The man also presents a severe but asymptomatic right elbow destruction. He has experienced ankle decoaptation techniques several times, which has led to hemarthrosis and subsequent arthropathy majoration.The second case reported is a 54 year old man who presents a right ankle arthropathy since many years, with a complaint majoration since 2 years. He previously underwent surgical intervention for arthroplasty of the left hip, the knees and the left ankle. Results: For both cases, different aspects of the management are investigated, including a medicated and a physiotherapy approach, and an adequate orthotic is also proposed. Other treatments are available and sometimes used, such as radio- or arthroscopic synovectomy, corticosteroids or platelet-rich plasma infiltration or viscosupplementation. We also discussed the interest of the ultrasound for the detection and the follow-up.Conclusion: Haemophilic ankle arthropathy is not such a rare condition among patients suffering from haemophilia. While many works have been made about the HA physiopathology, there is no clear consensus about its management. Further studies should be made in this way.