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Review
. 2020 Oct;75(10):665-669.

[Haemophilic ankle arthropathy : case reports and review of the literature]

[Article in French]
D Pelzer  1 , C Laurent  1 , P Peters  2 , J F Kaux  1
Affiliations
  • PMID: 33030843
Free article
Review

[Haemophilic ankle arthropathy : case reports and review of the literature]

[Article in French]
D Pelzer et al. Rev Med Liege. 2020 Oct.
Free article

Abstract
in English, French

Haemophilic arthropathy affects about half of the patients who suffer from haemophilia. Despite the fact that it's one of the main morbidity factors of haemophilia and that the pathophysiology of its mechanism is slowly better understood, its management is still under discussion. The cases of two men (53 and 54 years old) who suffer from ankle haemophilic arthropathy since several years are reported. For both cases, different aspects of the management are investigated, including a medicated and a physiotherapy approach, and an adequate orthotic. Other treatments are available and sometimes used, such as radio- or arthroscopic synovectomy, corticosteroids or platelet-rich plasma in?ltration or visco-supplementation.

L’arthropathie hémophilique affecte environ la moitié des hémophiles. Malgré le fait qu’elle soit un des facteurs principaux de morbidité dans l’hémophilie et que la physiopathologie de ce mécanisme soit de mieux en mieux comprise, sa prise en charge est toujours sujette à discussion. Nous décrivons le cas de deux hommes (âgés de 53 et 54 ans) qui souffrent d’arthropathie hémophilique de cheville depuis plusieurs années. Pour chacun, différents aspects de prise en charge ont été investigués, dont les approches médicamenteuses, rééducatives, et de port d’orthèse adéquate. D’autres prises en charge sont également disponibles et parfois utilisées, comme la radiosynovectomie ou la synovectomie arthroscopique, les in?ltrations par dérivés cortisonés ou de plasma riche en plaquettes (PRP), ou encore une visco-supplémentation.

Keywords: Ankle; Haemophilia; Hemarthrosis; Synovectomy; Joint diseases.

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