| 全踝关节置换术的研究进 |
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Received:February 25, 2016
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| 作者 | Author | 单位 | Unit | E-Mail |
| 李亚星 |
LI Ya-xing |
四川大学华西医院骨科, 四川 成都 610041 |
Department of Orthopaedic Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China |
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| 张晖 |
ZHANG Hui |
四川大学华西医院骨科, 四川 成都 610041 |
Department of Orthopaedic Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China |
caesarzh@163.com |
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| 期刊信息：《中国骨伤》2016年29卷，第8期，第774-778页 |
| DOI：10.3969/j.issn.1003-0034.2016.08.021 |
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| 全踝关节置换术是治疗终末期踝关节炎的一项可行性手术方案。失败的早期假体设计使得这一技术被放弃，然而，随着近年来假体设计的完善和医疗技术的提高，全踝关节置换术取得了极大进展，其适应人群的范围也有所拓展。研究表明全踝关节置换术的中长期临床效果令人满意，其前景值得期待。与踝关节融合术相比，这一技术本身的优点显着，即保留或改善关节功能、较好步态活动以及避免邻近关节退变。随着进一步的发展，全踝关节置换术必将取代踝关节融合术成为治疗终末期踝关节炎的金标准。但就其发展现状而言，仍有许多问题尚需解决，包括：经济花费高、生存率低、翻修率高等。 |
| [关键词]:关节成形术,置换,踝 假体设计 适应证 综述文献 |
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| Research progress on total ankle replacement |
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| Abstract:Total ankle replacement (TAR) is considered as a treatment option for end-stage ankle arthritis. This treatment was abandoned due to the early failure prosthesis in the past. However,with recently advancements in ankle prosthesis design and improved surgical techniques,TAR has made great progress and the indications are expanding. Many studies have shown acceptable mid-term and long-term results of TAR,and it is worth looking forward to the prospect. Advantages of TAR over arthrodesis include improvement in joint range of motion,better gait activity,and decreased incidence of adjacent joint arthritis. With the further development,TAR will be considered as gold standard for the treatment of end-stage ankle arthritis instead of the ankle arthrodesis. However,there are still many problems of TAR need to be solved in this present stage of development,including higher economic costs,lower survival rate,and higher revision rate. Patients and surgeons should have confidence in TAR,also need to choose this treatment with careful consideration. |
| KEYWORDS:Arthroplasty,replacement,ankle Prosthesis design Indications Review literature |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 李亚星,张晖.全踝关节置换术的研究进[J].中国骨伤,2016,29(8):774~778 |
| 英文格式: | LI Ya-xing,ZHANG Hui.Research progress on total ankle replacement[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(8):774~778 |
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