全踝关节置换术的当前概念

Q4 Medicine Journal of Arthroscopy and Joint Surgery Pub Date : 2021-07-01 DOI:10.1016/j.jajs.2021.04.010

T.M. Clough, M. Umar

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引用次数: 0

摘要

几十年来，踝关节融合术一直是治疗终末期踝关节关节炎的“黄金标准”。全踝关节置换术(TAA)手术于20世纪70年代初首次引入，最初因预后差和并发症高而困扰，可以理解的是，这导致了有限的应用。从那时起，它们的设计发生了巨大的变化，随着它的出现，人们对其在终末期踝关节关节炎的手术治疗中的作用重新产生了兴趣。在这篇文章中，我们讨论了目前TAA的临床证据，它的适应症和禁忌症，它的结果和结果，伴随手术的作用，并发症和评论需要进一步研究的领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Current concepts in total ankle arthroplasty

Ankle arthrodesis has for decades been the ‘gold standard’ treatment for end-stage ankle arthritis. Total ankle arthroplasty (TAA) surgery, first introduced in the early 1970's, was initially plagued with poor outcomes and high complications, leading understandably to limited uptake. Since then, their design has evolved tremendously, and with it, there has been renewed interest in its role in the surgical management of end-stage ankle arthritis. In this article we discuss the current clinical evidence for TAA, its indications and contra-indications for use, its outcomes and results, the role of concomitant surgical procedures, complications and comment on areas of further study required.

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来源期刊

Journal of Arthroscopy and Joint Surgery Medicine-Orthopedics and Sports Medicine

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： Journal of Arthroscopy and Joint Surgery (JAJS) is committed to bring forth scientific manuscripts in the form of original research articles, current concept reviews, meta-analyses, case reports and letters to the editor. The focus of the Journal is to present wide-ranging, multi-disciplinary perspectives on the problems of the joints that are amenable with Arthroscopy and Arthroplasty. Though Arthroscopy and Arthroplasty entail surgical procedures, the Journal shall not restrict itself to these purely surgical procedures and will also encompass pharmacological, rehabilitative and physical measures that can prevent or postpone the execution of a surgical procedure. The Journal will also publish scientific research related to tissues other than joints that would ultimately have an effect on the joint function.