Faculté de médecine de Tours, 37032 Tours cedex 1, France; Service de chirurgie orthopédique et traumatologique, CHRU Tours, 37044 Tours cedex 9, France.
Service de chirurgie orthopédique et traumatologique, CHRU Tours, 37044 Tours cedex 9, France.
Orthop Traumatol Surg Res. 2022 Nov;108(7):103394. doi: 10.1016/j.otsr.2022.103394. Epub 2022 Sep 6.
Residual pain after ankle replacement may implicate lesions in posteromedial structures, including the posterior tibial pedicle and tendon. The technique described here protects these structures, by positioning a malleable plate via a medial retromalleolar counter-approach. The technique seems not to cause any specific iatrogenicity. We advocate systematic implementation of this kind of protection in ankle replacement surgery. LEVEL OF EVIDENCE: IV, retrospective study.
踝关节置换术后残留疼痛可能提示后内侧结构（包括后胫骨干骺端和肌腱）损伤。此处描述的技术通过经内侧后踝反入路放置塑形钢板来保护这些结构。该技术似乎不会造成任何特定的医源性损伤。我们提倡在踝关节置换术中系统应用这种保护。证据等级：IV，回顾性研究。
