Jeng Clifford L, Myerson Mark S
Institute for Foot and Ankle Reconstruction, Mercy Medical Center, 301 St. Paul Place, Baltimore, MD 21202, USA.
Foot Ankle Clin. 2008 Sep;13(3):539-47, x. doi: 10.1016/j.fcl.2008.04.002.
For decades, orthopedic surgeons have been looking for practical alternatives to ankle arthrodesis for the treatment of end-stage ankle arthritis. The most popular alternatives available today are total ankle replacement, supramalleolar osteotomy, and ankle distraction arthroplasty. Fresh bipolar osteochondral allograft of the ankle joint has been sporadically reported in the literature as another alternative to ankle fusion. This article examines the basic science supporting the use of this technique, discusses the five case series reported in the literature, and describes the authors' preferred technique and short-term results.
几十年来，骨科医生一直在寻找踝关节融合术的实用替代方法来治疗终末期踝关节关节炎。目前最流行的替代方法是全踝关节置换术、距骨上截骨术和踝关节撑开成形术。踝关节新鲜双极骨软骨同种异体移植作为踝关节融合的另一种替代方法，在文献中已有零星报道。本文探讨了支持使用该技术的基础科学，讨论了文献中报道的五个病例系列，并描述了作者首选的技术和短期结果。
