Raikin Steven M, Rampuri Venkat
Orthopaedic Surgery, Jefferson Medical College, Thomas Jefferson University Hospital, 111 S. 11th Street, Philadelphia, PA 19107, USA.
Foot Ankle Clin. 2008 Sep;13(3):401-16, viii. doi: 10.1016/j.fcl.2008.04.009.
Ankle arthrodesis remains the gold standard of surgical treatment for advanced ankle joint arthritis. Failure can occur as a result of infection, nonunion or malunion, resulting in pain and poor function. This paper offers a systematic approach to preventing, and managing these problems should they occur. Revision arthrodesis performed with a detailed understanding of the appropriate alignment and mechanics of the ankle joint, combined with meticulous attention to understanding and reversing the cause of the failure can result in successful salvage and restoration of function.
踝关节融合术仍是晚期踝关节关节炎外科治疗的金标准。感染、骨不连或畸形愈合可能导致手术失败，进而引发疼痛和功能障碍。本文提供了一种预防这些问题的系统方法，以及在问题出现时进行处理的方法。在详细了解踝关节合适的对线和力学原理的基础上进行翻修融合术，同时精心关注并扭转失败原因，可实现成功挽救并恢复功能。
