{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:03:13Z","timestamp":1761807793271},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,3,13]],"date-time":"2013-03-13T00:00:00Z","timestamp":1363132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Ankle fusion in patients with haemophilia is a well\u2010accepted treatment for end\u2010stage arthropathy. However, current published outcome data are based on small sample sizes and generally short\u2010term follow\u2010up. The aim of this study was to evaluate the long\u2010term results of ankle fusion in a large group of haemophilic patients treated at a single institution. The results of 57 ankle fusions performed on 45 patients between 1971 and 2010 were reviewed retrospectively. Data were gathered for type and severity of haemophilia, <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> status, fixation technique, postoperative complications and requirement of additional surgeries. A modified American Orthopaedic Foot &amp; Ankle Society (<jats:styled-content style=\"fixed-case\">AOFAS<\/jats:styled-content>) hindfoot score was calculated for 20 ankles available for follow\u2010up. Patients were followed for a mean of 6.6\u00a0years. There were no intra\u2010operative or immediate postoperative complications related to fusion of the ankle. The overall non\u2010union rate was 10.4% for tibio\u2010talar fusion and 8.3% for sub\u2010talar fusion. This rate was reduced to 3.7% and 5.6%, respectively, after the introduction of newer surgical techniques in 1995. None of these non\u2010unions required revision surgery. The modified <jats:styled-content style=\"fixed-case\">AOFAS<\/jats:styled-content> scale demonstrated that 75% had no pain in the operated ankle a mean of 7.2\u00a0years following surgery. The remaining 25% scored their average pain as 3 of 10. The functional portion of the score suggested that patients have good alignment, minimal activity limitations or gait abnormalities, and can walk long distances. We conclude that ankle fusion successfully relieves pain and provides a good functional outcome. It is an appropriate treatment for end\u2010stage haemophilic arthropathy of the ankle.<\/jats:p>","DOI":"10.1111\/hae.12114","type":"journal-article","created":{"date-parts":[[2013,3,14]],"date-time":"2013-03-14T08:22:35Z","timestamp":1363249355000},"page":"432-437","source":"Crossref","is-referenced-by-count":36,"title":["Ankle fusion in patients with haemophilia"],"prefix":"10.1111","volume":"19","author":[{"given":"B. E.","family":"Bluth","sequence":"first","affiliation":[{"name":"UCLA\/Orthopaedic Hospital Department of Orthopaedics David Geffen School of Medicine at UCLA Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y. J.","family":"Fong","sequence":"additional","affiliation":[{"name":"Hemophilia Treatment Center at Orthopaedic Hospital Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. J.","family":"Houman","sequence":"additional","affiliation":[{"name":"University of Rochester School of Medicine Rochester NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Silva","sequence":"additional","affiliation":[{"name":"Hemophilia Treatment Center at Orthopaedic Hospital Los Angeles CA USA"},{"name":"UCLA\/Orthopaedic Hospital Department of Orthopaedics David Geffen School of Medicine at UCLA Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"J. V.","family":"Luck","sequence":"additional","affiliation":[{"name":"Hemophilia Treatment Center at Orthopaedic Hospital Los Angeles CA USA"},{"name":"UCLA\/Orthopaedic Hospital Department of Orthopaedics David Geffen School of Medicine at UCLA Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.60B3.681415"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173070-00007"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199611000-00031"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2010.02248.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.2830470209"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa067659"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2010.02221.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2008.01650.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2006.01350.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2008.01651.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2005.01133.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2008.01720.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199607000-00009"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2008.01820.x"},{"key":"e_1_2_7_16_1","volume-title":"Recommendations for the Prevention of Human Immunodeficiency Virus (HIV) Transmission in the Practice of Orthopaedic Surgery","author":"AAOS Taskforce on AIDS and Orthopaedic Surgery","year":"1989"},{"key":"e_1_2_7_17_1","first-page":"377","article-title":"Update: universal precautions for prevention of transmission of human immunodeficiency virus, hepatitis B virus, and other bloodborne pathogens in health\u2010care settings","volume":"37","author":"Centers for Disease Control","year":"1988","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500701"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2007.08.004"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B1.8999"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902000404"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200102000-00009"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199904000-00023"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.85B7.13984"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01611"},{"key":"e_1_2_7_26_1","first-page":"60","article-title":"Surgical management of advanced hemophilic arthropathy. an overview of 20\u00a0years' experience","volume":"242","author":"Luck JV","year":"1989","journal-title":"Clin Orthop"},{"key":"e_1_2_7_27_1","doi-asserted-by":"crossref","first-page":"122","DOI":"10.5435\/00124635-199311000-00007","article-title":"Outcomes Research in Orthopaedics","volume":"1","author":"Keller RB","year":"1993","journal-title":"J Am Acad Orthop Surg"}],"container-title":["Haemophilia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhae.12114","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hae.12114","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,15]],"date-time":"2023-10-15T16:37:46Z","timestamp":1697387866000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hae.12114"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,13]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,5]]}},"alternative-id":["10.1111\/hae.12114"],"URL":"https:\/\/doi.org\/10.1111\/hae.12114","archive":["Portico"],"relation":{},"ISSN":["1351-8216","1365-2516"],"issn-type":[{"value":"1351-8216","type":"print"},{"value":"1365-2516","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,3,13]]}}}