踝关节骨关节炎治疗方式回顾

Review of Treatment of Ankle Osteoarthritis

踝关节骨关节炎是一系列因创伤、劳损等原因造成的以踝关节局灶性软骨退行性变、关节边缘骨赘形成以及关节畸形和软骨下骨质硬化为主要特征的慢性关节疾病。其发病率低于膝关节骨关节炎与髋关节骨关节炎,然而,在临床中发现患者数在逐年增多。许多传统的治疗方法能够缓解其引起的疼痛等临床症状并一定程度上延缓疾病进展,例如,药敷理疗、药物关节内注射等。踝关节融合术仍是治疗中晚期踝关节骨关节炎的首选手术方式,近年来,关节镜技术的发展以及踝关节置换术的日渐成熟为中晚期踝关节骨关节炎的治疗带来了新的思路。本文对有关踝关节骨关节炎的治疗进展进行综述。

Ankle joint is a series of chronic joint diseases caused by trauma and strain,which are mainly characterized by focal cartilage degeneration of ankle joint,formation of osteophytes at the joint margin,joint deformity and subchondral osteosclerosis.The incidence rate is lower than that of osteoarthritis of knee and hip.However,the number of patients is increasing year by year in clinical practice.Many traditional treatment methods can relieve the pain and other clinical symptoms caused by the disease and delay the progression of the disease to some extent,such as drug therapy,drug intraarticular injection and so on.Ankle arthrodesis is still the first choice for the treatment of advanced ankle osteoarthritis.In recent years,the development of arthroscopy and the increasing maturity of ankle arthroplasty have brought new ideas for the treatment of advanced ankle osteoarthritis.This article reviews the progress in the treatment of ankle osteoarthritis.