Schuberth John M, Cheung Catherine, Rush Shannon M, Blitz Neal, Roling Brian
Department of Orthopedic Surgery, Kaiser Permanente-French Campus, San Francisco, CA, USA.
J Foot Ankle Surg. 2005 Mar-Apr;44(2):125-32. doi: 10.1053/j.jfas.2005.01.012.
A series of thirteen patients that had primary fusion of the ankle joint through an isolated medial approach is presented. The technique involves transection of the medial malleolus for access to the articular surfaces, rather than the traditional transfibular approach. The medial malleolus was replaced in all cases, preserving the deltoid ligament. Union was achieved in 12 of 13 patients. The technique is described in detail and the advantages of this approach are discussed with respect to preservation of the blood supply to the talus and tibia.
本文介绍了一系列13例通过单独内侧入路进行踝关节初次融合的患者。该技术包括切断内踝以显露关节面，而非传统的经腓骨入路。所有病例中内踝均予以复位，保留三角韧带。13例患者中有12例实现了骨愈合。本文详细描述了该技术，并讨论了这种入路在保留距骨和胫骨血供方面的优势。
