Weltmer J B, Choi S H, Shenoy A, Schwartsman V
St. Louis County Orthopedic Group, Inc., MO 63128.
Clin Orthop Relat Res. 1991 Jul(268):107-11.
Fifteen patients, each of whom had a Wolf blade plate ankle arthrodesis, were followed for a mean of 56 months. The mean age at the time of operation was 46.7 years. The preoperative diagnosis was posttraumatic arthritis in 16 cases and one each of degenerative arthritis, rheumatoid arthritis, and avascular necrosis of the talus. Eighteen of the 19 cases fused for a fusion rate of 94.7%. The average fusion position was 2.9 degrees of plantar flexion and 5 degrees of valgus. All patients whose ankle fused were satisfied with their results. The average Mazur postoperative score was 75 (range, 33-91). Five patients had delayed wound healing. The Wolf blade plate is a simple and easy method to fuse the ankle. Minimal dissection is required and a fusion rate of 95% is obtainable.
15例接受了Wolf刃状钢板踝关节融合术的患者接受了平均56个月的随访。手术时的平均年龄为46.7岁。术前诊断为创伤后关节炎16例，退行性关节炎、类风湿关节炎和距骨缺血性坏死各1例。19例中有18例融合，融合率为94.7%。平均融合位置为跖屈2.9度和外翻5度。所有踝关节融合的患者对其结果均满意。术后Mazur平均评分为75分（范围为33 - 91分）。5例患者伤口愈合延迟。Wolf刃状钢板是一种简单易行的踝关节融合方法。所需的解剖操作最少，可获得95%的融合率。
