踝关节融合术固定方式研究进展

RECENT PROGRESS OF FIXATION TECHNIQUES OF ANKLE ARTHRODESIS

目的对踝关节融合术的固定技术和研究进展进行综述。方法广泛查阅近年来国内外关于踝关节融合术固定技术研究的文献,对临床常用各种内、外固定方式的特点及研究进展进行分析总结。结果内、外固定器材种类众多,各具特点。目前普遍认为内固定术是治疗晚期踝关节疾病的首选方式,但对于伴有严重骨缺损、慢性活动性感染、软组织广泛受损等不适用内固定装置的情况,外固定术安全、可靠。结论对于严重或晚期踝关节疾病,踝关节融合术是一项技术成熟、疗效确切的治疗手段。在内固定使用适应证的拓展研究和内、外固定技术对比与联合应用两个方面的研究有待进一步深入,这对于如何选择合适的固定方式,并获得更好的临床治疗效果具有重要意义。

Objective To review the latest research progress of fixation techniques of ankle arthrodesis. Methods The literature concerning the research of fixation techniques of ankle arthrodesis in recent years was reviewed.Then the characteristics and new research progress of different internal and external fixation techniques were analysed and compared.Results There are plenty of different types of internal and external fixation devices,each with distinct characteristics.Now it is widely considered that internal fixation is the first choice for end-stage ankle arthropathy.However,under the circumstances that patients with serious bone defect,chronic active infection,or extensive soft tissue damage are not suitable for internal fixation,ankle arthrodesis with external fixation is still a safe and effective method.Conclusion For severe or end-stage ankle arthropathy,ankle arthrodesis is a mature therapeutic way with exact effect.Researches on these two aspects,expansion of indications of internal fixation and comparison and combination of internal and external fixation techniques,need to be deepened,which is of great significance for choosing a better fixation method and acquiring a better therapeutic effect.