RESUMO
INTRODUCTION: Haemophilic ankle arthropathy is caused by recurrent spontaneous joint haemorrhaging and leads to pain, deformity and loss of function. In the presence of advanced articular deterioration, therapeutic options are confined to either arthroplasty or arthrodesis, the latter still being referred to as the procedure of choice. However, total ankle replacement (TAR) has recently gained acceptance as an alternative. AIM: To investigate the mid- to long-term results of TAR in haemophilic ankle arthropathy. MATERIALS AND METHODS: Seventeen TARs in 14 male patients (mean age: 43 years [range, 27.4-57.6]), implanted between 1998 and 2012, were retrospectively analysed. Implant survival was estimated using Kaplan-Meier analysis. Haemophilic/viral status, complications and revision surgeries were recorded. Follow-up assessment of 12 TARs was performed 9.6 years (range, 3.3-17.8) postoperatively, including clinical examination, pain and satisfaction scales, the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score, and the SF-36. Radiographic evaluation of pre- and follow-up radiographs was conducted. RESULTS: Estimated implant survival was 94% at 5, 85% at 10 and 70% at 15 years, respectively. Three cases required revision surgery. At follow-up, 9.6 years (range, 3.3-17.8) postoperatively, the level of satisfaction was 76% (range, 50-100) and of pain 2/10 (range, 0-6) on the VAS. Range of motion had increased significantly (P = .037). The SF-36 summary scores were comparable to those of a matched standard population. The AOFAS hindfoot score averaged 81 points (range, 73-90). All radiographs revealed component loosening or periprosthetic radiolucency. CONCLUSION: Total ankle replacement in the presence of advanced haemophilic arthropathy is a viable treatment option with favourable mid-/long-term results, maintaining mobility of the ankle joint.
Assuntos
Artroplastia de Substituição do Tornozelo/métodos , Hemofilia A/complicações , Adulto , Feminino , Seguimentos , Hemofilia A/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de TempoRESUMO
ABSTRACT The subfamily Bambusoideae comprises three monophyletic tribes, Arundinarieae, Bambuseae and Olyreae. Here we report the gametic number and the chromosomal meiotic behavior of two species belonging to the herbaceous tribe Olyreae, Olyra latifolia and Olyrahumilis. Accessions were collected in Misiones, at Northeastern Argentina. We report a new gametic number for O. humilis, n=18, and we confirmed n=11 for O. latifolia. Chromosomal features, like the basic and gametic chromosome number, are important in understanding the evolution of the Poaceae family, especially in delimiting clades and elucidate inter andintra-clades relationships, and therefore it is necessary to continue producing this type of data.
RESUMEN La subfamilia Bambusoideae comprende tres tribus monofiléticas, Arundinarieae, Bambuseae y Olyreae. Aquí reportamos el número gamético y el comportamiento meiótico de los cromosomas de dos especies pertenecientes a la tribu Olyreae de bambúes herbáceos, Olyra latifolia y Olyra humilis. Las introducciones se recolectaron en la provincia de Misiones, en el noreste argentino. Reportamos un nuevo número gamético para O. humilis, n=18, y confirmamos n=11 para O. latifolia. Los números cromosómicos básicos y gaméticos son importantes para comprender la evolución de la familia Poaceae, especialmente para delimitar sus clados y las relaciones existentes entre ellos, por lo que es necesario continuar produciendo este tipo de datos.