文档介绍：踝关节病的人工踝关节置换                  作者:毛宾尧,胡裕桐,应忠追,司全明【关键词】 人工踝关节摘要:[目的]探讨人工踝关节置换治疗踝关节病的疗效。[方法]对1999~2004年1月的18例患者包括骨性踝关节炎6例,创伤性踝关节炎9例,局限性距骨缺血坏死2例,踝关节融合后1例,均采用LinkSTAR假体3构件套进行人工踝关节置换。18例中,男13例,女5例;平均年龄477岁(38~67)。[结果]随访平均3a9个月(1~5a)。按Kofoed评价系统观察疗效,优(85~100)16例,良(75~84)2例,无可(70~74)和差(<70)。患足背屈平均8°(范围6°~12°),跖屈12°(范围8°~16°),背屈和跖屈平均16°(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]人工踝关节置换是治疗和替代踝关节多种疾患疼痛和需要融合的良好方法。关键词:踝关节;人工踝关节;置换;外科 Treatmentofankledisorderswithtotalanklereplacement∥ Abstract:[Objective]Tostudytheresultoftreatmentforankledisorderswithtotalanklereplacement[Method]FromJan1999toJan2004,eighteencasesincludedankleosteoarthritisinsixcases,traumaticarthritisinnine,localnecrosisofthetalusintwo,heyweretreatedwithtotalanklereplacementwhichbemadeinWeLinkSTARprostheseAmongtheeighteencases,thirteenmale,andfivefemaleThepatientsmeanagewas477(range38~67)[Result]Thetermoffollowupwasthreeyearsandninemonths(ranged1~5years)TheanklefunctionswereevaluatedwithKofoedssystem,excellent(85~100)in16cases,good(75~84)in2,nofair(70~74)andpoor(<70)Thefootdorsiflexionaveraged8°(ranged6°~12°)andplantoflexion12°(range8°~16°)Movementrangeofthefootdorsiflexionandplantoflexionwere16°(averaged11°~23°)TheimplicationwastheskinnecrosisofincisebordgerNoersion,eversionandradiographicloosen[Conclusion]Totalanklereplacementisagoodmethodfortheankledisordersandinsteadtotheintraditionalanklearthrodesis Keywords:Anklejoint;T