采用多轴角稳定型Talarlock®钢板经后外侧入路行踝关节融合术

[Ankle arthrodesis with an posterolateral approach using a polyaxial angle stable Talarlock® plate].

作者信息

Gutteck N, Lebek S, Zeh A, Gradl G, Delank K-S, Wohlrab D

机构信息

Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Klinik und Poliklinik für Orthopädie und physikalische Medizin, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Str. 22, 06112, Halle, Deutschland,

出版信息

Oper Orthop Traumatol. 2013 Dec;25(6):615-23. doi: 10.1007/s00064-013-0253-4. Epub 2013 Dec 6.

DOI:10.1007/s00064-013-0253-4

PMID:24306049

Abstract

OBJECTIVE

Safe arthrodesis of the ankle as well as load carrying capacity free of pain.

INDICATION

Painful arthritis of the ankle joint occurring idiopathic or posttraumatic, resulting from rheumatoid arthritis or neuromuscular diseases. Extensive bony defects in varus or valgus ankle deformities and after failed prosthesis. Complex hindfoot deformities in neurological disease, paralysis and instabilities. Joint destruction after infection.

CONTRAINDICATIONS

Active osteitis, extensive skin ulcers in the approach area, periphery artery occlusive disease.

SURGICAL TECHNIQUE

Posterolateral skin incision. Sparing cartilage resection. Penetrating sclerosis zones. Reorientating anatomic positioning of the talus thereby correcting axis deformities. Talarlock(®) plate positioning and tibiotalar arthrodesis.

POSTOPERATIVE MANAGEMENT

Full weight bearing in an arthodesis boot for 6 weeks. After bone grafting partial weight bearing (20 kg) in an arthrodesis boot for 8 weeks. Full weight bearing after 10weeks.

RESULTS

Ten patients were operated on using this procedure. The follow-up time was 1 year. There were no complications requiring further surgical procedures. Ankle fusion and a good clinical outcome could be achieved in all cases.

摘要