关键词: Ankle Arthritis Arthroplasty Bone defect Bone graft

Mesh : Humans Arthroplasty, Replacement, Ankle / methods Tibia / surgery Bone Transplantation / methods Autografts Transplantation, Autologous Ankle Joint / surgery

来  源:   DOI:10.4055/cios24075   PDF(Pubmed)

Abstract:
Severe bone defects pose a clinical challenge in total ankle arthroplasty (TAA) and are frequently considered contraindicated. We introduce an innovative approach that utilizes a structural tibial cut autograft to address anterior distal tibia bone defects during TAA. This technique is a viable alternative to employing revision TAA systems or resorting to excessively high tibial cuts. Furthermore, it facilitates achieving favorable sagittal alignment and ensures adequate fixation strength of the tibial component.
摘要:
严重的骨缺损在全踝关节置换术(TAA)中构成了临床挑战,通常被认为是禁忌。我们介绍了一种创新的方法,该方法利用结构性胫骨切割自体移植物来解决TAA期间胫骨远端前骨缺损。该技术是采用翻修TAA系统或采用过高胫骨切口的可行替代方案。此外,它有助于实现有利的矢状对齐,并确保胫骨组件的足够固定强度。
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