Preis Markus, Bailey Travis, Marchand Lucas S, Weinberg Maxwell W, Jacxsens Matthijs, Barg Alexej
Department of Orthopaedics, Aukammklinik, Leibnizstrasse 21, 65191 Wiesbaden, Germany.
Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA.
Foot Ankle Surg. 2019 Jun;25(3):286-293. doi: 10.1016/j.fas.2017.12.001. Epub 2017 Dec 17.
The aim of this study was to assess the short-term clinical and radiographic outcomes in patients who underwent conversion of a painful tibiotalocalcaneal arthrodesis to a total ankle replacement.
Six patients with painful ankle arthrodesis after tibiotalocalcaneal arthrodesis were included in this study. In all patients, conversion to total ankle replacement was performed using a 3-generation, non-constrained, cementless three-component prosthesis. The outcomes were analyzed at a mean follow-up of 3.4±1.9years (range 1.0-6.5).
One patient with painful arthrofibrosis underwent two open arthrolysis procedures at 1.2 and 5.6 years post index surgery, respectively. No revision of tibial or talar prosthesis components was necessary in this study. All patients reported significant pain relief and significant improvement in functional status.
In the present study, the conversion of a painful ankle arthrodesis following tibiotalocalcaneal arthrodesis to a total ankle replacement was a reliable surgical treatment.
本研究的目的是评估将疼痛性胫距跟关节融合术转换为全踝关节置换术患者的短期临床和影像学结果。
本研究纳入了6例胫距跟关节融合术后出现疼痛性踝关节融合的患者。所有患者均使用三代非限制性、无骨水泥的三组件假体进行全踝关节置换术转换。在平均随访3.4±1.9年（范围1.0 - 6.5年）时对结果进行分析。
1例患有疼痛性关节纤维性变的患者分别在初次手术后1.2年和5.6年接受了两次开放性关节松解手术。本研究中无需对胫骨或距骨假体组件进行翻修。所有患者均报告疼痛明显缓解，功能状态显著改善。
在本研究中，将胫距跟关节融合术后疼痛性踝关节融合转换为全踝关节置换术是一种可靠的手术治疗方法。
