人工全踝关节置换假体类型及其评价系统

Prosthesis type and evaluation system of artificial total ankle replacement

背景:人工全踝关节置换在国内外已相继开展,其中远期疗效不甚满意。人工踝关节假体的设计研究与开发、疗效评价系统的优化和规范与其中远期疗效密切相关。目的:分析近年来人工踝关节假体设计与开发及踝关节置换后疗效评价系统的研究进展。方法:电子检索CNKI数据库、万方数据库、维普数据库等中文数据库和PubMed数据库中1980/2010关于人工踝关节置换假体类型与评价系统的相关综述和研究报告,在标题和关键词中以"踝关节,置换术,假体,评价系统"或"ankle joint,replacement,prosthesis,evaluation system"为检索词进行检索。选择文章内容与人工踝关节置换相关,同一领域文献则选择近期发表或发表在权威杂志上的文章,分析踝关节置换假体类型与评价系统,适应症与禁忌症的研究进展。结果与结论:共纳入人工踝关节置换假体研究与评价系统的相关文献33篇。人工关节置换治疗疼痛踝关节是一直探索不辍的课题,人工踝关节置换术的中远期疗效有赖于踝关节假体的设计研究与开发、疗效评价系统的优化和规范,人工踝关节应该有较大的改进和提高,使人工全踝关节置换达到更优的疗效和更高的生存率,同时应有更合理和规范的评价系统来评价疗效。

BACKGROUND：Artificial total ankle joint replacement has carried out progressively at home and abroad,it does not give satisfactory medium-long term effect. The design and development of ankle joint prosthesis and optimization of efficacy evaluation system are closely related to medium-long term effect. OBJECTIVE：To explore the advance of design and development of artificial ankle joint prosthesis,and the advance of efficacy evaluation system in ankle joint replacement. METHODS：A computer online search was performed to find papers concerning review and research report of type of artificial ankle joint prosthesis and efficacy evaluation system published between 1980 and 2010 in databases of CNKI,Wanfang,VIP and PubMed. We retrieved the papers using the of ＂ankle joint,replacement,prosthesis,evaluation system＂ in Chinese and English. The literature published in a short report on the latest or authoritative journals in a certain domain was selected. The advance in the style of ankle joint prosthesis,evaluation system,indication and contraindication was analyzed. RESULTS AND CONCLUSION：A total of 33 literatures were included in this study. Artificial ankle joint replacement is the exploring project in treating ankle pain,the medium-long term effect of ankle joint replacement depends on design of the ankle joint prosthesis and optimization of efficacy evaluation system,and we think ankle joint prosthesis should be improved and enhanced greatly,to get better effect and higher postoperative survival rate of prosthesis in the replacement of ankle joint,and the more reasonable and standard efficacy evaluation system are also needed.