Bolton-Maggs B G, Sudlow R A, Freeman M A
J Bone Joint Surg Br. 1985 Nov;67(5):785-90. doi: 10.1302/0301-620X.67B5.4055882.
We report a retrospective study of 62 total ankle arthroplasties performed between 1972 and 1981. Forty-one of these have been reviewed clinically after an average follow-up of five and a half years; only 13 can be described as satisfactory. The complications encountered in all 62 arthroplasties are detailed, the most significant being superficial wound healing problems, talar collapse, and loosening of the components; 13 prosthetic joints have already been removed and arthrodesis attempted. The management of the complications is discussed. In view of the high complication rate and the generally poor long-term clinical results, we recommend arthrodesis as the treatment of choice for the painful stiff arthritic ankle, regardless of the underlying pathological process.
我们报告了一项对1972年至1981年间进行的62例全踝关节置换术的回顾性研究。其中41例在平均随访五年半后进行了临床复查；只有13例可被认为是满意的。详细列出了所有62例置换术中遇到的并发症，最主要的是浅表伤口愈合问题、距骨塌陷和假体部件松动；已有13个假体关节被移除并尝试进行关节融合术。讨论了并发症的处理方法。鉴于高并发症发生率和总体较差的长期临床结果，我们建议对于疼痛性僵硬的关节炎性踝关节，无论其潜在病理过程如何，关节融合术是首选治疗方法。
