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中华关节外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (06) : 766 -769. doi: 10.3877/cma.j.issn.1674-134X.2021.06.020

个案报道

联合两代假体全踝关节置换治疗大骨节病踝关节炎
陈彦博1, 曾钢1, 李嘉杰1, 宋卫东1, 刘文宙1,()   
  1. 1. 510000 广州,中山大学孙逸仙纪念医院骨外科
  • 收稿日期:2021-02-07 出版日期:2021-12-01
  • 通信作者: 刘文宙
  • 基金资助:
    广东省医学科研基金(A2021280); 中山大学孙逸仙纪念逸仙临床研究培育项目(SYS-Q-202105)

total ankle arthroplasty combined two generation prostheses in treatment of ankle arthritis of Kashin-Beck disease

Yanbo Chen1, Gang Zeng1, Jiajie Li1   

  • Received:2021-02-07 Published:2021-12-01
引用本文:

陈彦博, 曾钢, 李嘉杰, 宋卫东, 刘文宙. 联合两代假体全踝关节置换治疗大骨节病踝关节炎[J]. 中华关节外科杂志(电子版), 2021, 15(06): 766-769.

Yanbo Chen, Gang Zeng, Jiajie Li. total ankle arthroplasty combined two generation prostheses in treatment of ankle arthritis of Kashin-Beck disease[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(06): 766-769.

图1 患者术前双下肢及双侧踝关节X线示双侧膝关节、踝关节关节炎。图A为双下肢全长片,可见双侧膝关节及双侧踝关节均有关节炎病变;图B~C为双侧踝关节侧位片,可见双侧踝关节炎,左侧为著;图D为双侧跟骨轴位;图E为双侧踝关节正位,可见双侧踝关节炎,左侧为著
图2 患者术中左侧踝关节及假体X线。图A、B示术中调整定位杆与力线;图C示植入可透视假体模块,调整假体大小;图D示侧位片截骨模块,确定胫骨距骨截骨线(D1线为胫骨截骨线;D2线为关节线;D3线为第四代假体Infinity假体距骨截骨线;D4线为第三代假体Inbone假体距骨截骨线),可见本患者由于距骨塌陷无法植入Infinity假体;图E示截骨后正位片放入试模;图F示侧位片下调整胫骨距骨试模位置;图G示胫骨、距骨定位针;图H示定位针引导下建立距骨假体骨隧道,保证不进入关节面
图3 患者术后左侧踝关节正侧位X线,示人工踝关节置换术后,假体未见松脱、移位及断裂
图4 患者术后3个月和6个月复查双下肢及左踝关节X线,示假体位置良好。图A为术后3月下肢全长正位X线片;图B为左踝关节X线侧位片;图C为术后6个月左踝关节X线侧位片;图D为术后6个月下肢全长正位X线片
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