全踝关节置换术联合胫后肌腱转移术治疗踝关节骨关节炎伴足下垂畸形。

Total ankle arthroplasty and tibialis posterior tendon transfer for ankle osteoarthritis and drop foot deformity.

机构信息

ATOS Clinic, Center for Knee and Foot Surgery, Sport Surgery, Heidelberg, Germany.

出版信息

Foot Ankle Surg. 2011 Sep;17(3):203-6. doi: 10.1016/j.fas.2009.10.004. Epub 2009 Nov 8.

DOI:10.1016/j.fas.2009.10.004

Abstract

Total ankle arthroplasty is an alternative to arthrodesis in selected patients with end-stage arthritis of the ankle. We report on the clinical features, radiographic findings, management and results in a 58-year-old man with associated ankle osteoarthritis and drop foot deformity. The patient was managed with a total ankle arthroplasty and tibialis posterior tendon transfer. Three years after the procedure, the patient was able to walk, had no pain, and had a stable joint with 5° dorsiflexion and 20° plantar flexion.

摘要

全踝关节置换术是治疗踝关节晚期关节炎的一种选择，对于某些特定患者而言，它可以替代关节融合术。我们报告了一例 58 岁男性的临床特征、影像学表现、治疗方法和结果，该患者合并踝关节骨关节炎和马蹄足畸形。该患者接受了全踝关节置换术和胫后肌腱转移术治疗。术后 3 年，患者能够行走，无痛，关节稳定，背屈 5°，跖屈 20°。