Broquin J, Emani A, Maurer P, Tomeno B
Rev Chir Orthop Reparatrice Appar Mot. 1979 Oct-Nov;65(7):393-401.
The authors have studied the complications and long term results of 91 cases of tibio-talar arthrodesis and 43 cases of tibio-talar arthrodesis associated with subtalar arthrodesis. Minor complications such as limited skin necrosis were noted in 13 p. 100 of the cases, and no-fusion occurred in 7 p. 100. The results were satisfactory in 75 p. 100 of the cases, fair in 13 p. 100, poor in 12 p. 100. Most of the poor results were related to painfull subtalar joints after isolated tibio-talar arthrodesis. This happened often following conditions : excessive equinus, protrusion of screws in the subtalar joint, preoperative lesions of the subtalar joint. In cases of associated tibio-tarsal and subtalar arthrodesis, the long term study revealed moderate and painless secondary arthrosis of the mid-tarsal joint. It is concluded that associated fusion of the subtalar joint should always be considered when tibio-talar arthrodesis is indicated.
作者研究了91例胫距关节融合术及43例胫距关节融合术联合距下关节融合术的并发症及长期疗效。13%（每100例中有13例）的病例出现了如皮肤坏死局限等轻微并发症，7%（每100例中有7例）发生了骨不连。75%（每100例中有75例）的病例结果满意，13%尚可，12%较差。多数较差结果与单纯胫距关节融合术后距下关节疼痛有关。这种情况常发生在以下情形：马蹄足畸形过度、螺钉突入距下关节、距下关节术前病变。在胫距关节和距下关节联合融合术的病例中，长期研究显示中跗关节出现中度且无痛的继发性关节炎。得出的结论是，当有指征进行胫距关节融合术时，应始终考虑联合距下关节融合。
