Maastricht University Medical Center +, Research School CAPHRI, Department Orthopaedic Surgery, P. Debyelaan 25, Maastricht 6229 HX, the Netherlands.
Foot Ankle Clin. 2024 Mar;29(1):157-163. doi: 10.1016/j.fcl.2023.08.007. Epub 2023 Sep 15.
The debate between ankle arthrodesis and total ankle replacement for patients with end-stage arthritis of the ankle joint is an ongoing topic in orthopedic surgery. Ankle arthrodesis, or fusion, has been the traditional treatment for ankle arthritis. It involves fusing the bones of the ankle joint together, eliminating the joint and creating a solid bony union. Arthrodesis is effective in reducing pain in the ankle, but it results in a loss of ankle motion. This can increase the load on adjacent joints, such as the subtalar joint, which may lead to accelerated degeneration and arthritis in those joints over time.
踝关节融合术和全踝关节置换术治疗踝关节终末期关节炎的争论一直是矫形外科的一个热门话题。踝关节融合术,又称融合术,一直是治疗踝关节关节炎的传统方法。它涉及将踝关节的骨头融合在一起,消除关节并形成坚固的骨性融合。融合术在减轻踝关节疼痛方面非常有效,但会导致踝关节运动丧失。这会增加对相邻关节(如距下关节)的负荷,随着时间的推移,这些关节可能会加速退化并出现关节炎。