腓骨缺损情况下胫跟关节固定术转为踝关节置换术

IF 0.1 Q4 ORTHOPEDICS

Techniques in Foot and Ankle Surgery Pub Date : 2021-03-18 DOI:10.1097/BTF.0000000000000325

Andrew D. Posner, Stefanos F Haddad, M. Harrington, Kyle Angelicola-Richardson, A. Rosenbaum

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引用次数: 0

摘要

将症状性踝关节融合术转为全踝关节置换术正变得越来越普遍。腓骨外侧功能不全历来被认为是关节融合术取下和转换关节成形术的禁忌症。研究已经描述了几种恢复足够的侧向支墩的方法，但报告的结果喜忧参半。作者描述了一种新的技术技巧，用于在腓骨缺损的情况下，将胫腓骨关节融合术一次性转换为全踝关节置换术。所描述的技术使用了独特的模板和骨骼切割，可以在这些具有挑战性的情况下成功复制。证据级别：第五级——专家意见。

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Conversion of Tibiotalocalcaneal Arthrodesis to Total Ankle Arthroplasty in the Setting of Fibular Deficiency

Conversion of symptomatic ankle arthrodesis to total ankle arthroplasty is becoming more common. Lateral fibula insufficiency has historically been considered a contraindication for arthrodesis takedown and conversion arthroplasty. Studies have described several methods for restoring an adequate lateral buttress but reported mixed results. The authors describe a novel technique tip for a single-procedure conversion of tibiotalocalcaneal arthrodesis to total ankle arthroplasty in the setting of fibular deficiency. The described technique uses unique templating and bone cuts and can be successfully replicated in these challenging cases. Level of Evidence: Level V—expert opinion.

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来源期刊

Techniques in Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Techniques in Foot & Ankle Surgery offers a unique opportunity to master the most innovative and successful surgical techniques for correction of foot and ankle disorders. Featuring contributions from the world"s foremost orthopaedic surgeons and podiatrists, this quarterly journal supplies step-by-step details on these techniques. The contributors explain the rationale, indications, and contraindications for each procedure, identify the pitfalls and potential complications, and provide invaluable tips for improving results. The journal is illustrated cover to cover with intraoperative photographs and drawings, including several in full color.