人工踝关节置换治疗踝关节病的临床疗效  

Clinical results of total ankle replacement for ankle disorders

作　　者：毛宾尧[1] 胡裕桐[1] 应忠追[1] 司全明[1] 

机构地区：[1]宁波市第一医院,宁波市骨科研究所,315010

出　　处：《中华创伤杂志》2005年第11期819-821,共3页Chinese Journal of Trauma

摘　　要：目的探讨人工踝关节置换治疗踝关节病的疗效。方法对18例患者18踝行人工踝关节置换,其中创伤性踝关节炎9例,骨性踝关节炎6例,创伤后局限性距骨缺血坏死2例,粉碎骨折踝关节融合后1例。结果随访1～5年,按Kofoed评价系统观察疗效,优16例,良2例。患足背伸范围6°～12°,跖屈范围8°～16°,背伸和跖屈11°～23°。并发症有切口皮缘坏死2例,无足内、外翻和影像学松动。结论人工踝关节置换是改善踝关节功能的良好方法。Objective To study the result of total ankle replacement in treating ankle disorders. Methods Total ankle replacement was employed to treat 18 cases （ 18 ankles） with ankle disorders in cluding ankle osteoarthritis in six, traumatic arthritis innine, local necrosis of the talus in two and post ankle arthrodesis in one. Results The follow up averaged three years and nine months （ 1-5 years）. The ankle functions were evaluated with Kofoed＇s system that showed excellent result in 16 cases and good in 2. The foot dorsiflexion was 6°-12° and plantoflexion 8°-16°. Movement range of the foot dorsiflexion and plantoflexion was 11°-23°. The implication was the skin necrosis of incise bordger. No foot inversion, eversion and radiographic loosen were seen. Conclusion Total ankle replacement is a good method for improvement of the ankle function.

关 键 词：踝关节 踝损伤 关节成形术 置换 人工踝关节 临床疗效 置换治疗 关节病 创伤性踝关节炎 距骨缺血坏死 关节置换 

分 类 号：R687.4[医药卫生—骨科学] R743.350.5[医药卫生—外科学]