{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T16:03:31Z","timestamp":1760889811804,"version":"3.40.5"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,3,13]],"date-time":"2019-03-13T00:00:00Z","timestamp":1552435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Haemophilic ankle arthropathy may cause joint bleeding, pain, stiffness, erosion and progressive motion limitations, including a decreased range of motion (ROM) secondary to anterior osteophyte impingement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The purpose of this study was to investigate changes in the ROM and symptoms after synovectomy and anterior osteophyte resection for haemophilic ankle arthropathy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed 41 ankles in 35 patients with haemophilic arthropathy who underwent arthroscopic and\/or open synovectomy. The mean follow\u2010up period was 59.5\u00a0months. Indications for the procedure included a lack of improvement with conservative management, and the presence of haemarthrosis and arthralgia. We assessed radiographic images, ankle joint range of motion, the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle\u2010Hindfoot score and patients\u2019 subjective satisfaction preoperatively and at the last follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Arthroscopic synovectomy was performed in 32 ankles, open synovectomy in 6, and arthroscopic synovectomy with additional mini\u2010open debridement in 3. Ankle dorsiflexion improved from a mean of 2.7\u00b0 preoperatively to a mean of 7.5\u00b0 at the final follow\u2010up (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.003), whereas plantar flexion improved from a mean of 30.7\u00b0 preoperatively to a mean of 32.7\u00b0 at the final follow\u2010up (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.276). The AOFAS score improved from 62.2 preoperatively to 79.1 at the final follow\u2010up (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001). Patient satisfaction was \u201cexcellent\u201d in 11 ankles, \u201cgood\u201d in 22, \u201cfair\u201d in 3 and \u201cpoor\u201d in 5.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arthroscopic and\/or open synovectomy with anterior osteophyte resection and early rehabilitation in adolescents and adults with haemophilic ankle arthropathy showed improved ankle dorsiflexion and AOFAS scores.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.13719","type":"journal-article","created":{"date-parts":[[2019,3,13]],"date-time":"2019-03-13T22:26:51Z","timestamp":1552516011000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Anterior osteophyte resection of the ankle joint to increase range of motion in haemophilic ankle arthropathy"],"prefix":"10.1111","volume":"25","author":[{"given":"Myung Chul","family":"Yoo","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Kyung Hee University Hospital at Gangdong Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bi O.","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, College of Medicine Kyung Hee University Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4530-0512","authenticated-orcid":false,"given":"Jungtae","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Kyung Hee University Hospital at Gangdong Seoul 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