Taniguchi Akira, Tanaka Yasuhito, Kadono Kunihiko, Inada Yuji, Takakura Yoshinori
Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Nara, Japan.
Clin Orthop Relat Res. 2003 Sep(414):322-8. doi: 10.1097/01.blo.0000079444.64912.d6.
Eleven patients (12 ankles) who had Pirogoff ankle disarticulation were followed up for an average of 5.6 years (range, 2.1-8.9 years). After disarticulation of the Chopart joint, the talus was removed and the calcaneus was cut off in the coronal plane. The heel then was rotated 90 degrees to the tibial plafond. The postoperative result was evaluated using a scoring sheet. Excellent results were seen in four feet: two in patients with trauma, one in a patient with a metastatic tumor, and one in a patient with osteomyelitis. Good results were seen in two feet: one in a patient with trauma and one in a patient with diabetes mellitus. A fair result was seen in one foot in a patient with diabetes mellitus. Poor results were seen in four feet in three patients with arteriosclerosis and one foot in a patient with diabetes mellitus. In Pirogoff ankle disarticulation, the leg-length discrepancy is compensated for by using the calcaneus. The patients only had a leg-length discrepancy of 2.8 cm on average, which enabled them to walk outdoors wearing only a shoe orthosis. The postoperative results were unfavorable in patients with vascular diseases and were satisfying in patients without vascular diseases.
11例行皮罗戈夫踝关节离断术的患者（12个踝关节）接受了平均5.6年（范围2.1 - 8.9年）的随访。在距舟关节离断后，切除距骨并在冠状面截断跟骨。然后将足跟向胫骨平台旋转90度。使用评分表评估术后结果。4只足结果为优：创伤患者2只，转移性肿瘤患者1只，骨髓炎患者1只。2只足结果为良：创伤患者1只，糖尿病患者1只。糖尿病患者1只足结果为中。3例动脉硬化患者的4只足及1例糖尿病患者的1只足结果为差。在皮罗戈夫踝关节离断术中，通过使用跟骨来补偿肢体长度差异。患者平均肢体长度差异仅为2.8厘米，这使得他们仅穿着鞋矫形器就能在户外行走。血管疾病患者术后结果不佳，无血管疾病患者结果令人满意。
