Shane Amber, Sahli Hannah
Department of Podiatric Surgery, Advent East Podiatric Surgical Residency, Advent Health System, Orlando Foot and Ankle Clinic, 250 North Alafaya Trail Suite 115, Orlando, FL 32828, USA.
Department of Podiatric Surgery, Advent Health System, 250 North Alafaya Trail Suite 115, Orlando, FL 32828, USA.
Clin Podiatr Med Surg. 2019 Oct;36(4):597-607. doi: 10.1016/j.cpm.2019.06.005.
Total ankle arthroplasty has been in development for more than 40 years. Although early designs were experimental with high failure rates, current implants are significantly improved, showing promising functional results and clinical outcomes. Total ankle replacement designs are split into mobile-bearing and fixed-bearing designs. When deciding whether to perform ankle arthroplasty, many factors need to be considered to determine if the patient is suitable and which implant is the best fit for patient and surgeon. Many prostheses are available in the United States today and the purpose of this article is to outline options for foot and ankle surgeons.
全踝关节置换术已经发展了40多年。尽管早期设计属于实验性的，失败率很高，但目前的植入物有了显著改进，显示出良好的功能效果和临床结果。全踝关节置换设计分为活动承重和固定承重设计。在决定是否进行踝关节置换术时，需要考虑许多因素，以确定患者是否适合以及哪种植入物最适合患者和外科医生。如今在美国有许多假体可供选择，本文的目的是为足踝外科医生概述各种选择。
