Hawkins B J, Langerman R J, Anger D M, Calhoun J H
Division of Orthopaedic Surgery, University of Texas Medical Branch, Galveston 77555-0792.
Clin Orthop Relat Res. 1994 Jun(303):217-25.
Failed ankle arthrodesis represents a significant challenge to the orthopaedist today. The complexity of this problem is further increased when associated with additional complications, such as osteomyelitis, leg length discrepancy, or concomitant foot deformity. In many instances, the only viable salvage alternative is amputation. The authors report 21 cases of complex distal tibial pathology or failed ankle arthrodesis treated with the Ilizarov external fixator. Of the 20 cases available for follow-up evaluation, 16 (80%) achieved good results with solid ankle arthrodesis and resolution of associated pathology. The Ilizarov fixator may be a viable clinical tool in these difficult cases in which amputation is the alternative.
踝关节融合失败对当今的骨科医生来说是一项重大挑战。当伴有其他并发症，如骨髓炎、肢体长度差异或并发足部畸形时，这个问题的复杂性会进一步增加。在许多情况下，唯一可行的挽救办法就是截肢。作者报告了21例采用伊里扎洛夫外固定器治疗的复杂胫骨远端病变或踝关节融合失败的病例。在可供随访评估的20例病例中，16例（80%）通过牢固的踝关节融合和相关病变的消除取得了良好效果。在这些截肢是替代方案的困难病例中，伊里扎洛夫固定器可能是一种可行的临床工具。
