踝关节骨关节炎的保踝治疗新进展

New progress in joint-preserving treatment of ankle osteoarthritis

踝关节骨关节炎是进展性疾病,如治疗不当经过较长时间会进展为终末期.既往国内对中期和终末期病例多旋行牺牲关节的踝关节融合术或踝关节置换术,在功能恢复、并发症、治疗费用等方面存在较多缺陷.近年兴起的针对中期踝关节OA的保踝治疗日益成为国内外足踝外科领域的热点,手术得当能恢复踝关节的正常生物力学、缓解疼痛、改善功能,可以预防或延迟中期踝关节炎进展为终末期.本文针对近年来中期踝关节OA的保踝治疗新进展进行综述.

Ankle osteoarthritis （OA）,a progressive disease,will develop into its full end-stage in the long run if no appropriate treatment is given.Joint-sacrificing procedures,such as total ankle replacement and ankle arthrodesis,used to be mostly applied for treatment of painful mid-and end-stage ankle OA,leading to adverse effects in functional recovery,complications and treatment costs.In recent years,joint-preserving surgery has emerged as an increasingly common treatment for mid-stage ankle OA at home and abroad.It has become a hot topic in the field of foot and ankle surgery,because it may restore normal biomechanics of the ankle joint,substantially relieve postoperative pain,improve function,and prevent or slow the degeneration process.This paper reviews the new progress in joint-preserving treatment of ankle OA.