Clinic of Orthopaedic Surgery, Kantonsspital Liestal, Switzerland.
Acta Orthop. 2011 Dec;82(6):704-10. doi: 10.3109/17453674.2011.623570. Epub 2011 Oct 17.
Total ankle replacement is an established surgical procedure in patients with end-stage ankle osteoarthritis. We analyzed complications and medium-term results in patients with simultaneous bilateral total ankle replacement.
10 women and 16 men, mean age 60 (SD 13) years, were followed for a median of 5 (2-10) years.
There were no intraoperative or perioperative complications, with the exception of 1 patient with prolonged wound healing. Major revision surgery was necessary in 6 of the 52 ankles, including 4 revisions of prosthetic components. The average pain score decreased from 6.9 (4-10) to 1.8 (0-4) points. The American Orthopaedic Foot and Ankle Society hindfoot score increased from 32 (SD 14) points preoperatively to 74 (SD 12) points postoperatively. The average range of motion increased from 28° (SD 12) preoperatively to 38° (SD 9) postoperatively. All 8 categories of SF-36 score improved.
Simultaneous bilateral total ankle replacement is a suitable method for restoration of function and attainment of pain relief in patients with bilateral end-stage ankle osteoarthritis. The results of this procedure, including complication rates, revision rates, and functional outcome, are comparable to those reported in patients with unilateral total ankle replacement.
全踝关节置换术是治疗终末期踝关节骨关节炎的一种成熟手术方法。我们分析了同期双侧全踝关节置换术患者的并发症和中期结果。
10 名女性和 16 名男性，平均年龄 60（SD 13）岁，中位数随访 5（2-10）年。
除 1 例患者伤口愈合延长外，无术中或围手术期并发症。52 个踝关节中有 6 个需要进行主要翻修手术，包括 4 个假体部件的翻修。平均疼痛评分从 6.9（4-10）分降至 1.8（0-4）分。美国矫形足踝协会后足评分从术前的 32（SD 14）分增加到术后的 74（SD 12）分。平均活动范围从术前的 28°（SD 12）增加到术后的 38°（SD 9）。SF-36 评分的所有 8 个类别均有所改善。
同期双侧全踝关节置换术是治疗双侧终末期踝关节骨关节炎患者恢复功能和缓解疼痛的一种合适方法。该手术的结果，包括并发症发生率、翻修率和功能结果，与单侧全踝关节置换术患者的报告结果相当。
