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一种新型的全踝关节置换术，同时采用结构性胫骨截骨自体移植物治疗胫骨前骨缺损。

A Novel Approach to Total Ankle Arthroplasty with Simultaneous Structural Tibial Cut Autograft for Anterior Tibial Bone Defects.

机构信息

Department of Orthopaedic Surgery, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.

Department of Orthopaedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

出版信息

Clin Orthop Surg. 2024 Aug;16(4):674-678. doi: 10.4055/cios24075. Epub 2024 Jun 26.

DOI:10.4055/cios24075
PMID:39092308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11262946/
Abstract

Severe bone defects pose a clinical challenge in total ankle arthroplasty (TAA) and are frequently considered contraindicated. We introduce an innovative approach that utilizes a structural tibial cut autograft to address anterior distal tibia bone defects during TAA. This technique is a viable alternative to employing revision TAA systems or resorting to excessively high tibial cuts. Furthermore, it facilitates achieving favorable sagittal alignment and ensures adequate fixation strength of the tibial component.

摘要

严重的骨缺损在全踝关节置换术（TAA）中构成了临床挑战，通常被认为是禁忌证。我们介绍了一种创新方法，即在 TAA 中使用结构性胫骨切取自体移植物来解决前远端胫骨骨缺损。与使用翻修 TAA 系统或采用过高的胫骨截骨相比，该技术是一种可行的替代方法。此外，它有利于实现理想的矢状面对线，并确保胫骨部件具有足够的固定强度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/11262946/be222c5df352/cios-16-674-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/11262946/9b4a4a241afc/cios-16-674-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/11262946/be222c5df352/cios-16-674-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/11262946/9b4a4a241afc/cios-16-674-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/11262946/be222c5df352/cios-16-674-g002.jpg

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本文引用的文献

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Two-Staged Revision Total Ankle Arthroplasty Surgery with Primary Total Ankle Arthroplasty System: A Case Report.两阶段翻修术联合初次全踝关节置换系统治疗：1 例报告。
JBJS Case Connect. 2021 Apr 29;11(2):01709767-202106000-00053. doi: e20.00339.
2
Failure to restore sagittal tibiotalar alignment in total ankle arthroplasty: Its relationship to the axis of the tibia and the positioning of the talar component.全踝关节置换术中矢状面胫距关节对线未能恢复：其与胫骨轴线及距骨假体位置的关系。
Bone Joint J. 2015 Nov;97-B(11):1525-32. doi: 10.1302/0301-620X.97B11.33636.
3
Poor prosthesis survival and function after component exchange of total ankle prostheses.
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Acta Orthop. 2015;86(4):407-11. doi: 10.3109/17453674.2015.1018760. Epub 2015 Feb 12.
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HINTEGRA revision arthroplasty for failed total ankle prostheses.HINTEGRA revision 踝关节置换术治疗全踝关节假体失败。
J Bone Joint Surg Am. 2013 Jul 3;95(13):1166-74. doi: 10.2106/JBJS.L.00538.
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The effect of three-component total ankle replacement malalignment on clinical outcome: pain relief and functional outcome in 317 consecutive patients.三组件全踝关节置换对线不良对临床结果的影响：317 例连续患者的疼痛缓解和功能结果。
J Bone Joint Surg Am. 2011 Nov 2;93(21):1969-78. doi: 10.2106/JBJS.J.01415.
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