Head Foot and Ankle Surgery, Department of Orthopedic Surgery, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland,
Curr Rev Musculoskelet Med. 2014 Dec;7(4):277-91. doi: 10.1007/s12178-014-9231-1.
A variety of surgical procedures are utilized for management of ankle osteoarthritis. The most common etiology in patients with ankle osteoarthritis is post-traumatic often resulting in asymmetric ankle osteoarthritis with concomitant valgus or varus deformity. A substantial part of tibiotalar joint is often preserved, therefore, in appropriate patients, joint-preserving surgery holds the potential to be a superior treatment option than joint-sacrificing procedures including total ankle replacement or ankle arthrodesis. This review is designed to describe indications and contraindications for single-stage supramalleolar realignment surgery. Complications associated with this type of surgery and postoperative outcome are highlighted using recent literature.
多种手术方法可用于治疗踝关节骨关节炎。踝关节骨关节炎患者最常见的病因是创伤后,常导致踝关节不对称性骨关节炎,并伴有内翻或外翻畸形。距下关节的大部分通常得以保留,因此,在合适的患者中,保关节手术可能比关节破坏性手术(包括全踝关节置换或踝关节融合术)具有更大的治疗优势。本文旨在描述单阶段距骨上截骨术的适应证和禁忌证。本文使用最新文献重点阐述了这种手术类型的相关并发症及其术后结果。