Moran C G, Pinder I M, Smith S R
Department of Orthopedics, Freeman Hospital, Newcastle Upon Tyne, Great Britain.
Acta Orthop Scand. 1991 Dec;62(6):538-43. doi: 10.3109/17453679108994491.
We have reviewed the results of 30 ankle arthrodeses performed on 26 patients with rheumatoid arthritis. This procedure was associated with a high morbidity, with wound breakdown and infection occurring in 12 cases. Eighteen ankles had fused, six had pain-free fibrous union, and six required further surgery for nonunion. Clinical evaluation, at an average follow-up of 5 years, was based on a modified ankle-grading system with good or excellent results in 14, fair results in nine, and poor in two. Only 4 patients had some residual pain in the ankle, and so, despite the high complication rate, arthrodesis is an effective method of treating the painful, rheumatoid ankle.
我们回顾了对26例类风湿性关节炎患者实施的30例踝关节融合术的结果。该手术的发病率较高，12例出现伤口破裂和感染。18例踝关节已融合，6例达到无痛纤维性愈合，6例因骨不连需要进一步手术。平均随访5年的临床评估基于改良的踝关节分级系统，14例结果为良好或优秀，9例为中等，2例为差。只有4例患者踝关节有一些残留疼痛，因此，尽管并发症发生率较高，但关节融合术仍是治疗疼痛性类风湿性踝关节的有效方法。
