Toth K, Jokai I, Szipott Z, Mecs L
Neurochirurgische Universitätsklinik, Abteilung für Orthopädie, Szeged.
Z Orthop Ihre Grenzgeb. 1989 Nov-Dec;127(6):701-5. doi: 10.1055/s-2008-1040315.
A case with diabetic osteoarthropathy, destruction of the talus and medial dislocation of the ankle joint is presented. After cleaning up a purulent skin process above the lateral malleolus, caused by the malposition, a calcaneocrural arthrodesis was performed, with a fixateur externe. In the authors' opinion therapy should aim to preserve the limb; this is to be preferred to amputation even in cases with very severe deformities. An arthrodesis with correction of the malposition is recommended as the method of choice.
本文报告1例糖尿病性骨关节炎、距骨破坏并踝关节内侧脱位的病例。清理因位置不当导致的外踝上方化脓性皮肤病变后，采用外固定架行跟骨-距骨关节融合术。作者认为，治疗应旨在保留肢体；即使在畸形非常严重的情况下，保留肢体也优于截肢。建议采用矫正位置的关节融合术作为首选方法。
