Abstract：
The present review paper aimed at discussing the current major issues in total ankle replacement, both the technical and biomechanical concepts, and the surgical and clinical concerns. Designers shall target at the same time restoration of natural ankle kinematics and congruity of the artificial surfaces throughout the range of motion. Surgeons are recommended to expand biomechanical knowledge on ankle joint replacement, and provide appropriate training and key factors to make arthroplasty a good alternative to arthrodesis. Moreover, adequate selection of patients and careful rehabilitation are critical. In the future, custom-made prosthesis components and patient-specific instrumentation are major developments for more complex cases.
摘要：
本综述旨在讨论目前全踝关节置换的主要问题。技术和生物力学概念，以及手术和临床问题。设计师应同时恢复自然踝关节运动学和整个运动范围内人造表面的一致性。建议外科医生扩大踝关节置换的生物力学知识，并提供适当的培训和关键因素，使关节成形术成为关节固定术的良好替代方法。此外，患者的适当选择和精心的康复至关重要。在未来,定制的假体组件和特定于患者的仪器是更复杂病例的主要发展。
