Brage Michael M, Ramadorai Uma E
Department of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington, 325, 9th Avenue, Seattle, WA 98104, USA.
Department of Orthopaedic Surgery, San Antonio Military Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78219, USA.
Foot Ankle Clin. 2017 Jun;22(2):341-360. doi: 10.1016/j.fcl.2017.01.005. Epub 2017 Mar 28.
Total ankle arthroplasty has advanced rapidly in the last 20 years. Early agility implants enjoyed improved survivability compared with more archaic total ankle implants. When talar subsidence occurs, the revision options include a stemmed component to improve stability by spanning the subtalar joint. Removal and revision of these stemmed components can be difficult because of ingrowth and bone loss.
全踝关节置换术在过去20年中发展迅速。与更陈旧的全踝关节植入物相比,早期的灵活植入物具有更高的生存率。当距骨下沉发生时,翻修选择包括一个带柄部件,通过跨越距下关节来提高稳定性。由于骨长入和骨质流失,移除和翻修这些带柄部件可能会很困难。