全距骨置换术的研究进展  

Advances in the study of total talus replacement

作　　者：吴威霏 王一品[2] 秦雪萌 杨茂伟[3] WU Wei-fei;WANG Yi-pin;QIN Xue-meng;YANG Mao-wei(Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110000,China;Affiliated Hospital,Liaoning University of Traditional Chinese Medicine,Shenyang,Liaoning 110000,China;The First Hospital,China Medical University,Shenyang,Liaoning 110000,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110000 [2]辽宁中医药大学附属医院,辽宁沈阳110000 [3]中国医科大学附属第一医院,辽宁沈阳110000

出　　处：《中国矫形外科杂志》2025年第4期324-328,共5页Orthopedic Journal of China

基　　金：沈阳市科学公共卫生研发项目(编号:22-321-32-12);辽宁省科技厅应用基础研究基金项目(编号:2023JH2/101300039);北京长江药学发展基金会项目(编号:BYPDF2431127)。

摘　　要：随着3D打印技术在临床实践中的广泛应用,使用定制假体进行全距骨置换(total talar replacement,TTR)已成为治疗踝关节疾病,如距骨缺血性坏死(avascular necrosis,AVN)和骨关节炎的有效选择。过去20年来,TTR手术已取得成功,并且总体存活率令人满意。然而,目前对于距骨置换的研究仍处于初级阶段,需要长期评估其效果。本综述旨在总结有关TTR的文献,并提供历史调查、适应证和禁忌证的变化、3D打印技术在距骨假体中的应用、存活率以及功能结果方面最新进展。With the widespread use of 3D printing technology in clinical practice,total talar replacement(TTR)using customized prostheses has become an effective option for the treatment of ankle disorders,such as talar avascular necrosis(AVN)and osteoarthritis.Overthe past 20 years,TTR procedures have been conducted successfully with a satisfactory overall survival rate.However,the TTR is still in itsinfancy and need to be evaluated over time.The aim of this review is to summarize the literature on TTR and provide an recent advances onhistorical survey,indications and contraindications,the use of 3D printing technology in talar prosthetic manufacture,survival rates,andfunctional outcomes.

关 键 词：全距骨置换术 3D打印 全距骨假体 稳定方式 假体材料 

分 类 号：R687.4[医药卫生—骨科学]