Department of Orthopaedic Surgery, Duke University Medical Center, Box 3000, Durham, NC, 27710, USA,
Curr Rev Musculoskelet Med. 2013 Dec;6(4):279-84. doi: 10.1007/s12178-013-9179-6.
Recent advancements in ankle prosthesis design, combined with improved surgical techniques for correction of coronal plane deformity and ligamentous balancing, have led to a resurgence of interest in total ankle arthroplasty for the treatment of end-stage ankle arthritis. Although ankle arthrodesis has long been considered the gold standard treatment for ankle arthritis, recent studies have shown that patients who undergo total ankle replacement have equivalent pain relief and improved function, when compared with patients with an ankle fusion. The purpose of this review is to summarize the indications, advantages, disadvantages, and clinical outcomes of some of the more commonly used modern prostheses for total ankle arthroplasty.
最近在踝关节假体设计方面的进展，加上冠状面畸形矫正和韧带平衡方面的改进手术技术，使得全踝关节置换术治疗终末期踝关节关节炎重新受到关注。虽然踝关节融合术长期以来一直被认为是治疗踝关节关节炎的金标准，但最近的研究表明，与接受踝关节融合术的患者相比，接受全踝关节置换术的患者在缓解疼痛和改善功能方面具有等效性。本文综述的目的是总结一些常用的现代全踝关节置换假体的适应证、优缺点和临床结果。
