Thorough excision of all scarred and infected tissues with careful contouring of the bone ends to ensure adequate bone apposition should be performed. Cancellous bone grafts placed about the periphery of the arthrodesis should be considered in the case of loss of bone stock to improve the surfaces for bone apposition. Rigid biplanar external fixation should be used to obtain a compression arthrodesis combined with prolonged immobilization. Unfortunately, some patients will require permanent bracing.
应彻底切除所有瘢痕化和感染的组织,并仔细修整骨端轮廓,以确保骨的充分对合。在骨量丢失的情况下,应考虑在关节融合术周边放置松质骨移植,以改善骨对合的表面。应使用坚固的双平面外固定来实现加压关节融合术,并结合长期固定。不幸的是,一些患者将需要长期使用支具。