Pfeiff Cindy
Oakland, CA, USA.
Orthop Nurs. 2006 Jan-Feb;25(1):30-3; quiz 34-5. doi: 10.1097/00006416-200601000-00008.
Ankle joint arthritis is a condition that affects many people. Initial conservative treatment includes nonsteroidal antiinflammatory drugs, soft bracing, and ankle foot orthosis. When conservative management fails, surgical intervention is often considered. Previously an ankle joint fusion has been considered the "gold standard" to treat disabling ankle joint arthritis because early total ankle joint replacements had unacceptably high complication rates. However, early and midterm data have demonstrated that the Scandinavian Total Ankle Replacement (STAR) or Agility Total Ankle may be a reasonable alternative to an ankle joint fusion.
踝关节关节炎是一种影响众多人的疾病。初始保守治疗包括使用非甾体类抗炎药、软性支具和踝足矫形器。当保守治疗失败时,通常会考虑手术干预。以前,踝关节融合术被认为是治疗致残性踝关节关节炎的“金标准”,因为早期全踝关节置换术的并发症发生率高得令人难以接受。然而,早期和中期数据表明,斯堪的纳维亚全踝关节置换术(STAR)或敏捷全踝关节置换术可能是踝关节融合术的合理替代方案。