Hsu Andrew R, Haddad Steven L, Myerson Mark S
J Am Acad Orthop Surg. 2015 May;23(5):272-82. doi: 10.5435/JAAOS-D-14-00017. Epub 2015 Mar 31.
Total ankle arthroplasty (TAA) is an increasingly popular treatment option for patients with end-stage ankle arthritis. Although improved short- and long-term clinical and radiographic outcomes have been achieved with TAA, revision surgery may be necessary in the setting of aseptic loosening, subsidence, impingement, arthrofibrosis, or infection. Factors such as patient selection, implant design, and surgical technique can all contribute to TAA failure. Treatment of patients with a painful TAA is complex and requires careful consideration of symptom history, workup, and nonsurgical and surgical treatment options. Surgical management of failed TAA includes arthrodesis, revision surgery, or below-knee amputation.
全踝关节置换术（TAA）对于终末期踝关节关节炎患者而言是一种越来越受欢迎的治疗选择。尽管全踝关节置换术已取得了改善的短期和长期临床及影像学结果，但在无菌性松动、下沉、撞击、关节纤维化或感染的情况下，可能需要进行翻修手术。诸如患者选择、植入物设计和手术技术等因素都可能导致全踝关节置换术失败。对疼痛性全踝关节置换术患者的治疗很复杂，需要仔细考虑症状史、检查以及非手术和手术治疗方案。失败的全踝关节置换术的手术管理包括关节融合术、翻修手术或膝下截肢。
