Röhm A, Mentzel M, Schöll H, Apic G, Gebhard F, Gülke J
Zentrum für Chirurgie, Klinik für Unfallchirurgie, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Ulm, Albert-Einstein-Allee 23, 89081, Ulm, Deutschland,
Unfallchirurg. 2015 Jul;118(7):615-20. doi: 10.1007/s00113-013-2548-1.
Complications related to arthrodesis of the ankle or total ankle replacement require a critical assessment of the indication. Using denervation of the ankle, we have the possibility to delay the above-named surgical treatment for a number of years. The aim of this follow-up study was to review the results of ankle denervation after several years.
Within a follow-up examination, we were able to evaluate the results of 45 patients an average of 102 months following ankle denervation.
A total of 82.2% of patients indicated an improvement of pain for an average of 60.9 months; 71.1% of patients reported that the operation was worthwhile. The AOFAS score improved from an average 37.9 (range 26-68) preoperatively to 55.6 (range 24-84) at follow-up.
Ankle denervation can achieve good ankle pain reduction in the treatment of ankle arthrosis. Denervation should be considered a long-term treatment concept.
与踝关节融合术或全踝关节置换相关的并发症需要对手术指征进行严格评估。通过踝关节去神经支配，我们有可能将上述手术治疗推迟数年。这项随访研究的目的是回顾数年之后踝关节去神经支配的结果。
在一次随访检查中，我们能够评估45例患者在踝关节去神经支配后平均102个月的结果。
共有82.2%的患者表示疼痛得到改善，平均改善时间为60.9个月；71.1%的患者称该手术值得一做。美国足踝外科协会（AOFAS）评分从术前平均37.9分（范围26 - 68分）提高到随访时的55.6分（范围24 - 84分）。
踝关节去神经支配在治疗踝关节骨关节炎时可有效减轻踝关节疼痛。去神经支配应被视为一种长期治疗理念。
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