Bibbo Christopher, Baronofsky Hyim J, Jaffe Leland
Foot and Ankle Section, Department of Orthopaedics, Marshfield Clinic, Marshfield, WI 54449, USA.
J Foot Ankle Surg. 2011 Jul-Aug;50(4):453-7. doi: 10.1053/j.jfas.2011.03.013. Epub 2011 May 31.
In recent years, total ankle replacement has become a reasonable option for many patients with end-stage ankle arthrosis. In order to be successful, total ankle replacement requires a relatively balanced alignment of the foot in relation to the leg. Such alignment is traditionally achieved surgically by means of stabilization of the hindfoot in conjunction with relocation osteotomy of the calcaneus and/or tibia. In this report, we describe the unconventional combination of total ankle replacement in an adult patient with concomitant paralysis that was addressed by means of tendon transfer.
近年来，全踝关节置换术已成为许多终末期踝关节骨关节炎患者的合理选择。为了取得成功，全踝关节置换术要求足部与小腿相对位置较为平衡。传统上，这种位置平衡是通过手术稳定后足并结合跟骨和/或胫骨的复位截骨术来实现的。在本报告中，我们描述了一名成年伴发瘫痪患者通过肌腱转移进行全踝关节置换的非常规联合治疗方法。
