Al-Nammari Shafic Said, Myerson Mark S
The Institute for Foot & Ankle Reconstruction, Mercy Hospital, Mercy Medical Center, 301 St Paul Place, Baltimore, MD 21202, USA.
The Institute for Foot & Ankle Reconstruction, Mercy Hospital, Mercy Medical Center, 301 St Paul Place, Baltimore, MD 21202, USA.
Foot Ankle Clin. 2016 Mar;21(1):15-26. doi: 10.1016/j.fcl.2015.09.009.
Asymmetric ankle osteoarthritis (OA) is an increasingly recognized condition. It is imperative to differentiate between extraarticular and intraarticular deformity and to address these appropriately. Any associated instability and multilevel deformity must be recognized and addressed. Patients with intraarticular varus or valgus asymmetric OA have poorer outcomes and higher rates of recurrence when treated with standard techniques targeted at correction with traditional supramalleolar or inframalleolar techniques. Plafondplasty aims to correct the deformity at its center of rotation and angulation and is associated with low rates of recurrence, substantial postoperative pain relief, functional improvement, and a possible slowing of the degenerative process.
不对称性踝关节骨关节炎（OA）是一种日益受到认可的病症。区分关节外畸形和关节内畸形并妥善处理这些问题至关重要。任何相关的不稳定和多平面畸形都必须得到识别和处理。采用传统的踝上或踝下技术进行矫正的标准技术治疗关节内内翻或外翻不对称性OA患者时，预后较差且复发率较高。穹窿成形术旨在矫正畸形的旋转中心和角度，复发率低，术后疼痛显著缓解，功能改善，并且可能减缓退变过程。
