{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T17:06:33Z","timestamp":1749143193189},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,6,24]],"date-time":"2015-06-24T00:00:00Z","timestamp":1435104000000},"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":[[2015,7]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>In haemophiliacs, recurrent hemarthrosis and chronic synovitis lead to chronic arthropathy. Synovectomy is indicated when medical treatment fails. Few studies report the results of open synovectomy of the ankle in haemophiliacs with a small number of procedures and also a limited follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this paper is to report the long\u2010term results of open surgical synovectomy of the tibio\u2010talar joint.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010two open synovectomies were performed in 21 young haemophiliacs in the same haemophilia center using an antero\u2010lateral and postero\u2010medial approaches. The median follow\u2010up was 15.4 years. Clinical (Petrini scores) and radiological evaluations (Pettersson scores) were made preoperatively and at each multidisciplinary follow\u2010up visit. Wilcoxon and Spearman's tests were used for the statistical analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Preoperative median Petrini score was 6 (range 3\u201312), and improved at 2 and 5 years follow\u2010up (<jats:italic>P\u00a0<\/jats:italic>=\u00a00.0003 and <jats:italic>P\u00a0<\/jats:italic>=\u00a00.0001 respectively). At 10 and 15 years follow\u2010ups, median score remained below preoperative score (median 3.5, range 0\u201311). Ten ankles had a follow\u2010up of more than 20 years. Preoperative median Petterson score presented a slight but continuous worsening in the first 2 and 5 years of follow\u2010ups (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.02, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.003), but not correlation between clinical and radiological results was observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our long\u2010term results support that clinical scores are improved even if radiological scores progress. Open synovectomy retards the progression of the arthropathy, but not stops it. Bleeding and pain are controlled and even if recurrence of bleedings is frequent, it is less severe, less painful and requiring less factors replacement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.12704","type":"journal-article","created":{"date-parts":[[2015,6,25]],"date-time":"2015-06-25T08:07:16Z","timestamp":1435219636000},"source":"Crossref","is-referenced-by-count":14,"title":["Open synovectomy of the ankle joint in young haemophiliacs: mid\u2010term to long\u2010 term results of a single\u2010centre series of 32 procedures"],"prefix":"10.1111","volume":"21","author":[{"given":"J.","family":"Mingo\u2010Robinet","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology Complejo Asistencial Universitario de Palencia Palencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Odent","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics Hopital Universitaire Necker Enfants Malades Assistance Publique Hopitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Elie","sequence":"additional","affiliation":[{"name":"Clinical Investigation Unit Hopital Universitaire Necker Enfants Malades Assistance Publique Hopitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.\u2010F.","family":"Torchet","sequence":"additional","affiliation":[{"name":"Haemophilia Care Centre Hopital Universitaire Necker Enfants Malades Assistance Publique Hopitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Glorion","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics Hopital Universitaire Necker Enfants Malades Assistance Publique Hopitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.\u2010P.","family":"Padovani","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopedics Hopital Universitaire Necker Enfants Malades Assistance Publique Hopitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Rothschild","sequence":"additional","affiliation":[{"name":"Haemophilia Care Centre Hopital Universitaire Necker Enfants Malades Assistance Publique Hopitaux de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,6,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199406000-00004"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2007.01535.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173070-00007"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2006.01285.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2007.01538.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2516.2001.00113.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2005.01133.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20353"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2516.2003.00746.x"},{"key":"e_1_2_8_11_1","first-page":"153","article-title":"A radiologic classification of hemophilicarthropathy","volume":"149","author":"Pettersson H","year":"1980","journal-title":"ClinOrthop"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2007.01539.x"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00043426-200309000-00010"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2008.01820.x"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2516.2008.01720.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199607000-00010"},{"key":"e_1_2_8_17_1","unstructured":"FongJY LuckJV SilvaM.Ankle fusion in hemophilia.American Academy of Orthopaedic Surgeons (AAOS) \u2013 Annual Meeting 14\u201318 February 2007 San Diego USA."}],"container-title":["Haemophilia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fhae.12704","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hae.12704","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:27:45Z","timestamp":1695572865000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hae.12704"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,24]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,7]]}},"alternative-id":["10.1111\/hae.12704"],"URL":"https:\/\/doi.org\/10.1111\/hae.12704","archive":["Portico"],"relation":{},"ISSN":["1351-8216","1365-2516"],"issn-type":[{"value":"1351-8216","type":"print"},{"value":"1365-2516","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6,24]]}}}