Baylor University Medical Center, 3500 Gaston Avenue, Dallas, TX 75246, USA.
OrthoCarolina Foot and Ankle Institute, Atrium Health Musculoskeletal Institute, 2001 Vail Avenue, Charlotte, NC 28207, USA. Electronic address: https://twitter.com/ToddIrwinMD.
Foot Ankle Clin. 2022 Mar;27(1):199-216. doi: 10.1016/j.fcl.2021.11.009.
Open ankle arthrodesis remains a reliable solution for ankle arthritis, especially in the setting of deformity. Careful preoperative evaluation needs to be performed, both clinically and radiographically. The specific deformity present helps determine the approach used and the fixation choices. Deformity is most commonly seen intraarticularly, though deformity can also be present anywhere along the lower extremity, including compensatory deformity in the foot. Multiple different techniques can be used to address both the deformity and achieve a successful ankle arthrodesis. Patient outcomes reported in the literature are generally good, with high union rates and improved functional outcomes.
踝关节开放性融合术仍然是治疗踝关节关节炎的可靠方法，尤其是在存在畸形的情况下。需要进行仔细的术前评估，包括临床和影像学评估。具体的畸形表现有助于确定所使用的方法和固定选择。畸形最常见于关节内，但也可能存在于下肢的任何部位，包括足部的代偿性畸形。有多种不同的技术可用于解决畸形问题并实现成功的踝关节融合术。文献中报告的患者结局通常较好，具有较高的融合率和改善的功能结局。
