Le Vu, Veljkovic Andrea, Salat Peter, Wing Kevin, Penner Murray, Younger Alastair
Department of Orthopaedics, University of British Columbia, Faculty of Medicine, St. Paul's Hospital, Vancouver, British Columbia, Canada.
Department of Radiology, University of Calgary, Alberta, Canada.
Foot Ankle Orthop. 2019 Jul 19;4(3):2473011419852931. doi: 10.1177/2473011419852931. eCollection 2019 Jul.
Ankle arthritis is a major source of morbidity impacting a younger working age population than hip and knee arthritis. Unlike the hip and knee, more than 70% of ankle arthritis cases are post-traumatic, with the remainder being inflammatory or primary arthritis. Nonoperative treatment begins with lifestyle and shoe-wear modifications and progresses to bracing, physical therapy, anti-inflammatory medications, and intra-articular injections. Ankle arthrodesis and total ankle arthroplasty are the 2 main surgical options for end-stage ankle arthritis, with debridement, realignment osteotomy, and distraction arthroplasty being appropriate for limited indications.
Level V, expert opinion.
踝关节关节炎是发病率的一个主要来源，与髋关节炎和膝关节炎相比，它影响的是更年轻的工作年龄人群。与髋部和膝部不同，超过70%的踝关节关节炎病例是创伤后引起的，其余为炎症性或原发性关节炎。非手术治疗首先从生活方式和鞋类调整开始，然后进展到支具治疗、物理治疗、抗炎药物和关节内注射。踝关节融合术和全踝关节置换术是终末期踝关节关节炎的两种主要手术选择，清创术、截骨矫形术和撑开成形术适用于有限的适应症。
V级，专家意见。
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