Total Ankle Replacement

족근관절 전치환술

  • Park, I.H. (Department of Orthopaedic Surgery, Kang Dong Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, K.B. (Department of Orthopaedic Surgery, Kang Dong Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Song, K.W. (Department of Orthopaedic Surgery, Kang Dong Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, J.Y. (Department of Orthopaedic Surgery, Kang Dong Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, E.J. (Department of Orthopaedic Surgery, Kang Dong Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, S.Y. (Department of Orthopaedic Surgery, Kang Dong Sacred Heart Hospital, College of Medicine, Hallym University)
  • 박인헌 (한림대학교 의과대학 정형외과학 교실) ;
  • 이기병 (한림대학교 의과대학 정형외과학 교실) ;
  • 송경원 (한림대학교 의과대학 정형외과학 교실) ;
  • 이진영 (한림대학교 의과대학 정형외과학 교실) ;
  • 이응주 (한림대학교 의과대학 정형외과학 교실) ;
  • 이승용 (한림대학교 의과대학 정형외과학 교실)
  • Published : 1997.12.01

Abstract

The functional disabilities post arthrodesis of the ankle include difficulty in climbing inclined surface, such as hill, ramps, or stair even through without pain. There will be periankle joints arthrosis as time passes. Total ankle replacement permits remobilization, no need for prolonged immobilization. There will be no increas in the mechanical stress of the neiboring joint. Total ankle replacement has been proposed as an alternative to arthrodesis in the management of painful arthrosis of the tibiotalar joint recently. We performed 7 cases of replacement from 1990. 4. 1 to 1996. 7. 1 with 2-3 years follow up. A retrospective review was undertaken for 7 patients with the arthrosis of tibiotatar joint. The results were as following. 1. The clinical results according to the point system for ankle study evaluation were excellent in 2 cases, good in 4 cases, and fair 1 case. 2. The improvement was especially obvious in terms of pain and functional recovery. 3. Total ankle replacement especially unconstrained type seems quite good alternative to arthrodesis.

Keywords