踝关节骨关节炎的阶梯化治疗  

Stepwise treatment of ankle osteoarthritis

作　　者：符轩齐 刘君 史雪峰 杜虎羽 Fu Xuanqi;Liu Jun;Shi Xuefeng;Du Huyu(The Ninth Clinical College of Shanxi Medical University,Taiyuan Shanxi,030000;Department of Orthopedics,Taiyuan Hospital Affiliated to Peking University First Hospital,Taiyuan Shanxi,030000,China)

机构地区：[1]山西医科大学第九临床医学院,山西太原030000 [2]北京大学第一医院太原医院骨科,山西太原030000

出　　处：《生物骨科材料与临床研究》2024年第4期5-9,共5页Orthopaedic Biomechanics Materials and Clinical Study

基　　金：太原市科学技术局,国家区域医疗中心科技创新计划项目,并科(2022)23号。

摘　　要：踝关节骨关节炎(osteoarthritis, OA)是一种慢性退行性疾病,主要表现为关节软骨的持续退化,进而引起疼痛和活动能力下降。踝关节OA患者比膝关节OA患者更年轻,对于活动能力的需求相对更多,早期治疗尤为关键。虽然踝关节OA不如膝关节和髋关节OA常见,但终末期踝关节OA对患者生活质量的影响不亚于终末期髋关节OA。因此,踝关节OA的阶梯化治疗至关重要,包括早期的非手术治疗,保守治疗无效后的保踝手术,终末期的全踝关节置换术或踝关节融合术。Ankle osteoarthritis(OA)is a chronic degenerative disease characterized by progressive degeneration of articular cartilage,resulting in pain and reduced mobility.Ankle OA patients are younger and have relatively greater mobility needs than knee OA patients,and early treatment is particularly important.Although ankle OA is less common than knee and hip OA,end-stage ankle OA has no less impact on patient quality of life than end-stage hip OA.Therefore,the stepwise treatment of ankle OA is crucial,starting with non-surgical treatment in the early stages.This includes early-stage non-operative treatment,ankle preservation surgery after failure of conservative treatment,and total ankle arthroplasty or ankle arthrodesis in end-stage disease.

关 键 词：踝关节骨关节炎 保踝治疗 踝关节融合术 全踝关节置换术 

分 类 号：R684.3[医药卫生—骨科学]