Bonnin M, Carret J P
Service de Chirurgie Orthopédique et Traumatologique, Centre hospitalier Lyon-Sud, Pierre-Bénite.
Rev Chir Orthop Reparatrice Appar Mot. 1995;81(2):128-35.
The technique, results and indications for arthroscopic ankle fusion are detailed and compared with open technics.
10 arthroscopic ankle fusions were performed between 1991 and 1993. This procedure was used in 4 cases of rheumatoid arthritis, 5 cases of osteoarthritis and 1 case of joint destruction consecutive to hemophilia. All patients were followed until fusion with an average follow-up of 12 months. The quality and position of the fusion were analyzed clinically and on radiograms.
9 patients obtained fusion in a neutral position and were able to walk with normal shoes. The average time to fusion was 14.5 weeks (8 to 40). 1 case failed and required reoperation after 15 months. No local complications were observed.
Arthroscopic ankle fusion is a safe procedure with good results in cases with relatively little deformities. Its main interest lies in the low rate of complications. The technique does not increase the rate of fusion when compared to open technics.
Arthroscopic fusion is recommended in cases with little to moderate deformities in the presence of poor wound healing factors.
详细介绍关节镜下踝关节融合术的技术、结果及适应证，并与开放手术技术进行比较。
1991年至1993年间进行了10例关节镜下踝关节融合术。该手术用于4例类风湿关节炎、5例骨关节炎和1例血友病所致关节破坏的病例。所有患者均随访至融合，平均随访12个月。临床及X线片分析融合的质量及位置。
9例患者获得中立位融合，能够穿正常鞋子行走。平均融合时间为14.5周（8至40周）。1例失败，15个月后需再次手术。未观察到局部并发症。
关节镜下踝关节融合术是一种安全的手术，对于畸形相对较小的病例效果良好。其主要优点在于并发症发生率低。与开放手术技术相比，该技术并未提高融合率。
对于存在伤口愈合不良因素且畸形程度较轻至中度的病例，推荐采用关节镜融合术。
