全踝关节置换术与踝关节融合术的结果。
Results of Total Ankle Arthroplasty Versus Ankle Arthrodesis.
机构信息
Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Paseo de la Castellana 261, 28046-Madrid, Spain.
Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Paseo de la Castellana 261, 28046-Madrid, Spain.
出版信息
Foot Ankle Clin. 2024 Mar;29(1):27-52. doi: 10.1016/j.fcl.2023.08.010. Epub 2023 Sep 15.
No differences have been found between total ankle arthroplasty (TAA) and ankle arthrodesis (AA) with respect to patient-reported outcome measures (PROMs), although both interventions were shown to improve PROMs with respect to the preoperative situation. That is, both interventions (AA and TAA) were effective in improving preoperative symptoms. On the other hand, 2-year complication rates were higher after AA (27%) than after TAA (16%); however, infection rates were similar (4%). The published revision rate after AA is 16% versus 11% after TAA. In short, TAA and AA appear to offer the same PROMs, but TAA has a lower rate of complications (except for infection) and revisions.
在患者报告的结果测量（PROMs）方面，全踝关节置换术（TAA）和踝关节融合术（AA）之间没有差异，尽管这两种干预措施都显示出可以改善 PROMs，相对于术前情况。也就是说，这两种干预措施（AA 和 TAA）都有效地改善了术前症状。另一方面，AA 术后 2 年的并发症发生率（27%）高于 TAA（16%）；然而，感染率相似（4%）。发表的 AA 翻修率为 16%，而 TAA 为 11%。简而言之，TAA 和 AA 似乎提供了相同的 PROMs，但 TAA 的并发症（感染除外）和翻修率较低。
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