Kitaoka H B, Romness D W
Department of Orthopedics, Mayo Clinic, Rochester, MN 55905.
J Arthroplasty. 1992 Sep;7(3):277-84. doi: 10.1016/0883-5403(92)90049-v.
Thirty-eight ankles in 36 patients who underwent fusion for failed total ankle arthroplasty were reviewed. Twenty-two patients were women and 14 were men, and their mean age was 56.8 years. The fusion methods performed in the 38 ankles were malleolar resection in 13, intercalated bone graft in 20, and posterior tibiotalocalcaneal fusion in 5. Fixation was external in 36 ankles and internal in 2. Bone graft was used in 32 ankles. Union was achieved in 33 ankles (89%). The average duration of the follow-up period in 29 patients (31 ankles) was 8.3 years (range, 2-14.4 years). Patients had no or mild pain in 24 ankles (80%). Complications occurred in five ankles (13%). Failed total ankle arthroplasty may be successfully salvaged by arthrodesis.
对36例因全踝关节置换失败而接受融合手术的患者的38个踝关节进行了回顾性研究。其中女性22例，男性14例，平均年龄56.8岁。38个踝关节的融合方法为：13例行踝关节切除术，20例行嵌插植骨术，5例行胫距跟后融合术。36个踝关节采用外固定，2个采用内固定。32个踝关节使用了植骨。33个踝关节（89%）实现了骨愈合。29例患者（31个踝关节）的平均随访时间为8.3年（范围2-14.4年）。24个踝关节（80%）的患者无疼痛或仅有轻度疼痛。5个踝关节（13%）出现了并发症。全踝关节置换失败后可通过关节融合术成功挽救。
