Winter T
Unfallchirurgie. 1985 Dec;11(6):329-39. doi: 10.1007/BF02587985.
During a period of more than 20 years, 63 patients having undergone a trauma were submitted to arthrodesis of the upper ankle joint. 31 out of them could be followed up from autumn 1982 through spring 1983. The primary reasons and the individual courses making necessary the arthrodesis varied to such an extent that there were no identical anamneses in any of the patients. The destruction of the upper ankle joint by high kinetic energy was apparently an essential factor in the anamnesis of arthrodesis of the upper ankle joint. There is no correlation between the number of posttraumatic arthrodeses and the number of fractures of the ankle joint treated by surgery during the same period. A "good" or "satisfactory" result was achieved in nine out of ten cases submitted to arthrodesis, and it seemed to be unimportant which of the usual techniques was applied. The high complication rate reported in literature, too, has possibly to be considered as a consequence of the gravity of the disease. It seems to be independent of the previously existing risk factors. The follow-up period is very long.
在20多年的时间里，63例受过创伤的患者接受了上踝关节融合术。其中31例患者从1982年秋季至1983年春季得到随访。导致进行融合术的主要原因及个体病程差异很大，以至于没有任何两名患者的病史完全相同。高动能导致的上踝关节破坏显然是上踝关节融合术病史中的一个重要因素。同期创伤后融合术的数量与手术治疗的踝关节骨折数量之间没有相关性。接受融合术的病例中，十分之九取得了“良好”或“满意”的结果，而且采用哪种常用技术似乎并不重要。文献中报道的高并发症发生率可能也应被视为疾病严重程度的结果。它似乎与先前存在的风险因素无关。随访期很长。
