A systematic review and narrative synthesis of footwear and orthotic devices used in the management of ankle haemarthrosis and haemarthropathy in haemophilia.
Richard A WilkinsLara S ChapmanJenny C EmmelThuvia FlanneryGraham J ChapmanRebecca E A WalwynAnthony C RedmondHeidi J SiddlePublished in: Haemophilia : the official journal of the World Federation of Hemophilia (2022)
This review demonstrates a lack of robust evidence regarding the efficacy and effectiveness of footwear and orthotic devices in the management of ankle joint haemarthrosis and haemarthropathy in haemophilia. Methodological heterogeneities and limitations with the study designs, small sample sizes and limited follow-up of participants exist. Future studies utilising randomised designs, larger sample sizes, long-term follow-up and validated patient-reported outcome measures are needed to inform the clinical management of ankle joint haemarthrosis and haemarthropathy.