Hennessy Michael S, Molloy Andrew P, Wood Edward V
Department of Orthopaedics, Wirral University Hospitals NHS Trust, Upton, Wirral, United Kingdom.
Foot Ankle Clin. 2008 Sep;13(3):417-42, viii. doi: 10.1016/j.fcl.2008.04.006.
Treatment of the arthritic varus ankle presents a significant surgical challenge. The recognition of the causes and associated deformities directs the treatment of the individual patient and optimizes functional outcome. Arthrodesis and total ankle replacement often will need to be augmented by corrective hind- and midfoot procedures and by careful soft tissue balancing. Often multiple procedures are required to achieve the desired result, and patients need to be advised that surgery may need to be staged.
关节炎性内翻踝关节的治疗面临重大的手术挑战。对病因及相关畸形的认识指导着个体患者的治疗，并优化功能结局。关节融合术和全踝关节置换术通常需要通过矫正后足和中足手术以及仔细的软组织平衡来加强。通常需要进行多次手术才能达到预期效果，并且需要告知患者手术可能需要分阶段进行。
