A comparison of arthrodesis and arthroplasty for hemophilic arthropathy of the ankle: a systematic review
Objective: To conduct a systematic review of the literature on surgical treatment for end-stage hemophilic arthropathy of the ankle joint, describing the results for arthroplasty and arthrodesis. Methods: We conducted a systematic literature review according to Cochrane (Cochrane Handbook for Syste...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2022-04-01
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| Series: | Journal of the Foot & Ankle |
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| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1604 |
| _version_ | 1817985783652417536 |
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| author | Rubens Américo Fontoura de Sousa Pinto Mauro César Mattos Dinato Caio Vinicius de Andrade Gouvea Rodrigo Gonçalves Pagnano |
| author_facet | Rubens Américo Fontoura de Sousa Pinto Mauro César Mattos Dinato Caio Vinicius de Andrade Gouvea Rodrigo Gonçalves Pagnano |
| author_sort | Rubens Américo Fontoura de Sousa Pinto |
| collection | DOAJ |
| description |
Objective: To conduct a systematic review of the literature on surgical treatment for end-stage hemophilic arthropathy of the ankle joint, describing the results for arthroplasty and arthrodesis. Methods: We conducted a systematic literature review according to Cochrane (Cochrane Handbook for Systematic Reviews of Interventions version 6.1, 2020) and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) recommendations. The primary outcome was clinical improvement in pain and function of the affected limb. Secondary outcomes included adverse effects and complications from the surgical procedures. Results: After reviewing 514 studies, 10 were included for data extraction and qualitative analysis (180 patients: 100 arthroplasties and 117 arthrodeses). Conclusions: Both methods showed low overall complication rates and effectively reduced pain and improved function, allowing a return to work, activities of daily living and, in some cases, sports. One procedure was not clearly better than the other: the choice must be based on the patient’s characteristics and clinical judgment. Level of Evidence III; Therapeutic Studies; Systematic Review of Level III Studies.
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| first_indexed | 2024-04-14T00:02:15Z |
| format | Article |
| id | doaj.art-8b7d9b9116144260b666364127136122 |
| institution | Directory Open Access Journal |
| issn | 2675-2980 |
| language | English |
| last_indexed | 2024-04-14T00:02:15Z |
| publishDate | 2022-04-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj.art-8b7d9b9116144260b6663641271361222022-12-22T02:23:40ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802022-04-0116110.30795/jfootankle.2022.v16.1604A comparison of arthrodesis and arthroplasty for hemophilic arthropathy of the ankle: a systematic reviewRubens Américo Fontoura de Sousa Pinto0Mauro César Mattos Dinato1Caio Vinicius de Andrade Gouvea2Rodrigo Gonçalves Pagnano3Department of Orthopedics, Rheumatology and Traumatology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - UNICAMP, Campinas, SP, Brazil.Department of Orthopedics, Rheumatology and Traumatology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - UNICAMP, Campinas, São Paulo, Brazil.Department of Orthopedics, Rheumatology and Traumatology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - UNICAMP, Campinas, São Paulo, Brazil.Department of Orthopedics, Rheumatology and Traumatology, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - UNICAMP, Campinas, São Paulo, Brazil. Objective: To conduct a systematic review of the literature on surgical treatment for end-stage hemophilic arthropathy of the ankle joint, describing the results for arthroplasty and arthrodesis. Methods: We conducted a systematic literature review according to Cochrane (Cochrane Handbook for Systematic Reviews of Interventions version 6.1, 2020) and PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) recommendations. The primary outcome was clinical improvement in pain and function of the affected limb. Secondary outcomes included adverse effects and complications from the surgical procedures. Results: After reviewing 514 studies, 10 were included for data extraction and qualitative analysis (180 patients: 100 arthroplasties and 117 arthrodeses). Conclusions: Both methods showed low overall complication rates and effectively reduced pain and improved function, allowing a return to work, activities of daily living and, in some cases, sports. One procedure was not clearly better than the other: the choice must be based on the patient’s characteristics and clinical judgment. Level of Evidence III; Therapeutic Studies; Systematic Review of Level III Studies. https://jfootankle.com/JournalFootAnkle/article/view/1604AnkleArthrodesisArthropathyArthroplastyHemophilia |
| spellingShingle | Rubens Américo Fontoura de Sousa Pinto Mauro César Mattos Dinato Caio Vinicius de Andrade Gouvea Rodrigo Gonçalves Pagnano A comparison of arthrodesis and arthroplasty for hemophilic arthropathy of the ankle: a systematic review Journal of the Foot & Ankle Ankle Arthrodesis Arthropathy Arthroplasty Hemophilia |
| title | A comparison of arthrodesis and arthroplasty for hemophilic arthropathy of the ankle: a systematic review |
| title_full | A comparison of arthrodesis and arthroplasty for hemophilic arthropathy of the ankle: a systematic review |
| title_fullStr | A comparison of arthrodesis and arthroplasty for hemophilic arthropathy of the ankle: a systematic review |
| title_full_unstemmed | A comparison of arthrodesis and arthroplasty for hemophilic arthropathy of the ankle: a systematic review |
| title_short | A comparison of arthrodesis and arthroplasty for hemophilic arthropathy of the ankle: a systematic review |
| title_sort | comparison of arthrodesis and arthroplasty for hemophilic arthropathy of the ankle a systematic review |
| topic | Ankle Arthrodesis Arthropathy Arthroplasty Hemophilia |
| url | https://jfootankle.com/JournalFootAnkle/article/view/1604 |
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