Marcus R E, Balourdas G M, Heiple K G
J Bone Joint Surg Am. 1983 Jul;65(6):833-8.
We evaluated the results in thirteen patients with disabling tibiotalar arthritis who underwent a new operation for ankle fusion for relief of pain. The procedure in all of these patients was a chevron (pitched-roof) tibiotalar osteotomy and excision of the joint. A bilateral approach to the ankle joint was used and the arthrodesis was supplemented by internal fixation and a tibial onlay graft applied medially. There were few complications, none of them of major importance. The after-care required only immobilization in a short cast. All but one patient had a solid fusion. The final result was a normal-looking ankle with good function.
我们评估了13例患有致残性胫距关节关节炎患者的手术结果，这些患者接受了一种新的踝关节融合手术以缓解疼痛。所有这些患者均采用人字形（斜顶）胫距截骨术并切除关节。采用双侧入路踝关节，通过内固定和内侧胫骨贴附植骨辅助关节融合。并发症很少，均无重大影响。术后护理仅需短时间石膏固定。除1例患者外，所有患者均实现了牢固融合。最终结果是踝关节外观正常且功能良好。
