Revisionsoperationen nach OSG-Prothesen-Implantation: Klinik, Diagnostik und Therapiemöglichkeiten

Q4 Medicine
Christian Plaass , Alena Richter , Sarah Ettinger , Christina Stukenborg-Colsman , Anna Altemeier
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引用次数: 0

Abstract

Recent developments in the design of modern total ankle replacements have significantly increased the implant survival rate. Detection of reasons for persistent symptoms is complex. The most common reasons for persistent symptoms and revision are aseptic loosening, periprosthetic joint infection, impingement, inlay wear, periprosthetic fracture, malalignment and instability as well as osteoarthritis of adjacent joints. This article provides an overview of the surgical options in the light of the current literature. Whereas in previous times mostly arthrodesis was recommended for revisions, the full spectrum of revision surgery is now available for total ankle replacement. Measured by functional, clinical scores, a good result can often be demonstrated after revision surgery.

OSG 假体植入后的翻修手术:临床、诊断和治疗方案
现代全踝关节置换术在设计上的最新发展大大提高了植入物的存活率。检测持续症状的原因非常复杂。导致持续症状和翻修的最常见原因是无菌性松动、假体周围关节感染、撞击、嵌体磨损、假体周围骨折、错位和不稳定以及邻近关节的骨关节炎。本文将根据现有文献对手术方案进行概述。以前的翻修手术多建议采用关节置换术,而现在的全踝关节置换术则可采用全方位的翻修手术。通过功能和临床评分来衡量,翻修手术后通常可以获得良好的效果。
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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来源期刊
Fuss und Sprunggelenk
Fuss und Sprunggelenk Medicine-Orthopedics and Sports Medicine
CiteScore
0.40
自引率
0.00%
发文量
105
审稿时长
53 days
期刊介绍: Offizielles Organ der Deutschen Assoziation fur Fuß & Sprunggelenk e. V. (D. A. F.)
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