Boc Steven F, Norem Nathan D
Podiatric Medicine and Surgery Residency Program, Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia, PA 19107, USA.
Clin Podiatr Med Surg. 2012 Jan;29(1):103-13. doi: 10.1016/j.cpm.2011.10.005. Epub 2011 Nov 17.
This article presents an overview of current ankle arthrodesis techniques. Surgical indications, pathophysiology of the ankle joint, preoperative assessment of the patient, surgical techniques for ankle fusion, and complications/sequelae are discussed. The surgical techniques section focuses on crossed screws arthrodesis and intramedullary nailing for tibiotalocalcaneal arthrodesis. Other techniques, including arthroscopic fusion, are also discussed.
本文概述了当前的踝关节融合技术。讨论了手术适应症、踝关节的病理生理学、患者的术前评估、踝关节融合的手术技术以及并发症/后遗症。手术技术部分重点介绍了交叉螺钉融合术和胫距跟关节融合术的髓内钉固定术。还讨论了其他技术,包括关节镜融合术。