Tan Ken-Jin, Myerson Mark S
Division of Foot and Ankle Surgery, University Orthopaedics Hand and Reconstructive Microsurgery Cluster, National University Hospital, 5 Lower Kent Ridge Road, NUHS Tower Block, Singapore 119074.
Foot Ankle Clin. 2012 Mar;17(1):103-15. doi: 10.1016/j.fcl.2011.11.005. Epub 2011 Dec 3.
Ankle replacement in the presence of a varus deformity is an evolving field. Although the initial results were disappointing, numerous advances in the understanding of the condition and operative techniques have been made. More recent reports show good short-term results, especially when adjunctive procedures are combined, not only to achieve a neutral alignment but also the restore lateral ligamentous stability. As a result, it is possible to correct varus deformities of 20° or more with ankle replacement. It is likely that, with a reliable correction of alignment and balance, that the long-term results of ankle replacement in significant varus deformity will be promising.
在存在内翻畸形的情况下进行踝关节置换是一个不断发展的领域。尽管最初的结果令人失望，但在对该病症的认识和手术技术方面已经取得了许多进展。最近的报告显示出良好的短期效果，尤其是当辅助手术相结合时，不仅可以实现中立位对线，还能恢复外侧韧带稳定性。因此，通过踝关节置换可以矫正20°或更大的内翻畸形。随着对线和平衡的可靠矫正，严重内翻畸形的踝关节置换的长期效果可能会很有前景。
