Ilizarov外固定踝融合术治疗终末期踝关节炎疗效分析

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Abstract Objective To evaluate the outcome of ankle arthrodesis using Ilizarov fixator for patients with end-stage ankle arthropathies.Methods We retrospectively studied 20 patients who underwent ankle arthrodesis with Ilizarov external fixator from May 2016 to December 2017.Twelve male patients and 8 female patients were included.The mean age was (59.05±7.83)years old(range 47~77 years).Outcomes were measured by The American orthopaedic foot and ankle society (AOFAS) hindfoot score，rate of union，rate of complications，and alignment of the ankle joint.Results Ankle fusion was achieved in allpatients.The mean time to healing was (3.70±1.04)months (range 3~6 months).Delayed wound healing，stent-tract infection and severe swelling were presented in one patient separately.Medial tibial talar angle improved from (86.84±6.26)degrees pre-operatively to (89.90±1.37) degrees post-operatively (P＜0.05).Lateral talar station decreased from (5.50±3.97)mm to (2.85±2.72)mm(P＜0.05).AOFAS score improved significantly from (39.00±8.34) pre-operatively to (80.65±8.86) post-operatively(P＜0.001).Conclusion Ankle arthrodesis using Ilizarov fixator can achieve good radiological and clinical outcomes for patients with end-stage ankle arthropathy，associated with low prevalence of ankle joint malalignment and high fusion rates.

Key words： Ilizarov fixator ankle arthropathy arthrodesis

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	Wang Xingshan
	Huang Ye *
	Liu Jian
	et al

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Wang Xingshan,Huang Ye *,Liu Jian, et al. Ankle Arthrodesis Using Ilizarov Fixator for Patients with endstage Ankle Arthropathies[J]. sygkzz, 2019, 25(10): 898-902.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2019/V25/I10/898

［1］Thomas RH，Daniels TR.Ankle arthritis［J］.J Bone Joint Surg(Am)，2003，85(5)：923-936.
［2］武勇.踝关节骨关节炎的手术治疗［J］.骨科临床与研究杂志，2018，3(6)：321-322.
［3］Glazebrook M，Daniels T，Younger A，et al.Comparison of health-related quality of life between patients with end-stage ankle and hip arthrosis［J］.J Bone Joint Surg (Am)，2008，90(3)：499-505.
［4］Nihal A，Gellman RE，Embil JM，et al.Ankle arthrodesis［J］.Foot Ankle Surg，2008，14(1)：1-10.
［5］栾彦军，白东昱.踝关节融合治疗创伤性踝关节炎的疗效分析［J］.实用骨科杂志，2015，21(7)：653-656.
［6］Perlman MH，Thordarson DB.Ankle fusion in a high risk population：an assessment of nonunion risk factors［J］.Foot Ankle Int，1999，20(8)：491-496.
［7］Ling JS，Smyth NA，Fraser EJ，et al.Investigating the relationship between ankle arthrodesis and adjacent-joint arthritis in the hindfoot：a systematic review［J］.J Bone Joint Surg(Am)，2015，97(6)：513-520.
［8］Fragomen AT，Borst E，Schachter L，et al.Complex ankle arthrodesis using the Ilizarov method yields high rate of fusion［J］.Clin Orthop Relat Res，2012，470(10)：2864-2873.
［9］Tanaka Y，Takakura Y，Hayashi K，et al.Low tibial osteotomy for varus-type osteoarthritis of the ankle［J］.J Bone Joint Surg(Br)，2006，88(7)：909-913.
［10］Willegger M，Holinka J，Nemecek E，et al.Reliability of the radiographic sagittal and frontal tibiotalar alignment after ankle arthrodesis［J］.PloS One，2016，11(4)：e0154224.
［11］Schmid T，Krause F，Penner MJ，et al.Effect of preoperative deformity on arthroscopic and open ankle fusion outcomes［J］.Foot Ankle Int，2017，38(12)：1301-1310.
［12］Veljkovic A，Norton A，Salat P，et al.Lateral talar station：a clinically reproducible measure of sagittal talar position［J］.Foot Ankle Int，2013，34(12)：1669-1676.
［13］Schneider W，Jurenitsch S.Normative data for the american orthopedic foot and ankle society ankle-hindfoot，midfoot，hallux and lesser toes clinical rating system［J］.Int Orthop，2016，40(2)：301-306.
［14］Henricson A，Jehpsson L，Carlsson A，et al.Re-arthrodesis after primary ankle fusion：134/1，716 cases from the Swedish Ankle Registry［J］.Acta Orthop，2018，89(5)：560-564.
［15］Chahal J，Stephen DJ，Bulmer B，et al.Factors associated with outcome after subtalar arthrodesis［J］.J Orthop Trauma，2006，20(8)：555-561.
［16］Morasiewicz P，Dejnek M，Urbanski W，et al.Radiological evaluation of ankle arthrodesis with Ilizarov fixation compared to internal fixation［J］.Injury，2017，48(7)：1678-1683.
［17］Katsenis D，Bhave A，Paley D，et al.Treatment of malunion and nonunion at the site of an ankle fusion with the Ilizarov apparatus［J］.J Bone Joint Surg(Am)，2005，87(2)：302-309.
［18］Hasan O，Fahad S，Sattar S，et al.Ankle arthrodesis using Ilizarov ring fixator：aprimary or salvage procedure? an analysis of twenty cases［J］.Malays Orthop J，2018，12(3)：24-30.
［19］Wang B，Saltzman CL，Chalayon O，et al.Does the subtalar joint compensate for ankle malalignment in end-stage ankle arthritis?［J］.Clin Orthop Relat Res，2015，473(1)：318-325.
［20］Khanfour AA.Versatility of Ilizarov technique in difficult cases of ankle arthrodesis and review of literature［J］.Foot Ankle Surg，2013，19(1)：42-47.
［21］Paley D，Lamm BM，Katsenis D，et al.Treatment of malunion and nonunion at the site of an ankle fusion with the Ilizarov apparatus.Surgical technique［J］.J Bone Joint Surg(Am)，2006，88( Suppl 1)：119-134.