DiDomenico Lawrence A, Anania Michelle C
Ohio College of Podiatric Medicine, Cleveland, OH, USA.
Clin Podiatr Med Surg. 2011 Aug;28(4):727-44. doi: 10.1016/j.cpm.2011.08.002.
One of the most widely debated topics amongst foot and ankle surgeons is the treatment of end stage arthritis. With the advent of the newer generation of total ankle replacement (TAR), a viable option over an arthrodesis is now available for patients with end-stage ankle arthritis. When compared with an ankle arthroplasty, recent reports suggest the ankle arthrodesis has poor long-term outcomes (20 years+) and can experience short- and long-term complications. Proper training, strict patient selection, and proper implant contribute to a successful outcome. As advances continue to be made in both implant design and surgical technique, the benefits of a TAR appears to provide the foot and ankle surgeon a good alternative for the appropriate patient.
足踝外科医生中讨论最广泛的话题之一是终末期关节炎的治疗。随着新一代全踝关节置换术（TAR）的出现，对于终末期踝关节关节炎患者而言，现在有了一种比关节融合术更可行的选择。与踝关节置换术相比，最近的报告表明踝关节融合术长期效果不佳（20年以上），并且会出现短期和长期并发症。适当的培训、严格的患者选择以及合适的植入物有助于取得成功的结果。随着植入物设计和手术技术不断取得进展，全踝关节置换术的优势似乎为足踝外科医生为合适的患者提供了一个不错的选择。
