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Updated: May 20, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Orthopaedic problems about the ankle in hemophilia
1La Paz University Hospital, Madrid, Spain. ecrmerchan@gmx.es
Summary
Hemophilia treatment involves factor replacement. For ankle issues, radiosynovectomy and surgery like debridement or joint replacement are options to manage hemophilic arthropathy and bleeding.
Area of Science:
- Orthopedics
- Hematology
- Genetics
Background:
- Hemophilia is an inherited bleeding disorder caused by deficiencies in coagulation factors VIII (hemophilia A) or IX (hemophilia B).
- Recurrent hemarthroses in hemophilic patients lead to hemophilic arthropathy, a significant cause of joint degeneration.
- Effective management requires factor replacement therapy and strategies to prevent joint damage.
Purpose of the Study:
- To review treatment strategies for hemophilic arthropathy of the ankle.
- To outline the role of radiosynovectomy and surgical interventions in managing ankle bleeding and degeneration in hemophilic patients.
Main Methods:
- Review of current literature and clinical practices regarding hemophilia management and orthopedic interventions.
- Discussion of treatment options including factor replacement, radiosynovectomy, arthroscopic procedures, and joint replacement/fusion.
Main Results:
- Elective ankle surgery is feasible in hemophilic patients with adequate factor replacement.
- Radiosynovectomy is effective in reducing bleeding frequency and intensity, with arthroscopic synovectomy considered if initial treatments fail.
- For advanced arthropathy, arthroscopic debridement, ankle arthrodesis, or total ankle replacement are recommended.
Conclusions:
- A multidisciplinary approach is crucial for successful surgical outcomes in hemophilic patients.
- Prophylaxis and radiosynovectomy are key to preventing hemophilic synovitis and arthropathy.
- Various surgical options exist for managing advanced hemophilic ankle arthropathy, tailored to disease severity.
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