Infinity假体全踝关节置换早期临床效果分析

doi:10.3877/cma.j.issn.1674-134X.2023.03.023

目的

探讨Infinity假体全踝关节置换治疗踝关节炎的早期临床疗效。

方法

回顾性分析2020年6月至2020年12月就诊于孙逸仙纪念医院骨科并行Infinity全踝关节置换的7例终末期踝关节炎患者。分别于术前和术后3、6、12个月评估疼痛视觉模拟(VAS)评分和美国足踝外科学会(AOFAS)踝－后足评分。配对t检验比较患者术前及术后1年评分结果。

结果

患者术后1年VAS评分为较术前降低(t＝3.6，P＝0.011)。术后1年AOFAS评分较术前显著改善(t＝4.0，P＝0.007)。所有患者随访1年以上均未出现感染、假体翻修等并发症。

结论

Infinity全踝关节假体置换对于治疗终末期踝关节炎是安全有效的。

关键词: 踝关节, 骨关节炎, 关节成形术，置换，踝

Objective

To investigate the early clinical outcome of total ankle arthroplasty with Infinity prosthesis in ankle arthritis patients.

Methods

From June 2020 to December 2020, seven patients with end- stage ankle arthritis who received Infinity total ankle arthroplasty in Department of Orthopedics of Sun Yat-sen Memorial Hospital were retrospectively analyzed. Patients were followed up before operation and at three, six, and 12 months after operation for pain visual analog score (VAS) and the American Orthopaedic Foot and Ankle Society (AOFAS) score. Paired t test was used to compare VAS and AOFAS scores before surgery and at one year after surgery.

Results

VAS score at one year after surgery was lower than that before surgery (t=3.6, P=0.011). The AOFAS score at one year after surger was significantly improved compared with that before surgery (t=4.0, P=0.007). All the patients were followed up for more than one year without infection, prosthesis revision or other complications.

Conclusion

Infinity total ankle arthroplasty is safe and effective in the treatment of end-stage ankle arthritis.

Key words: Ankle, Osteoarthritis, Arthroplasty, replacement, ankle

图1 大骨节病患者踝关节置换术前术后左踝关节X线正侧位片。图A为术前X线片，示左踝关节明显狭窄，踝关节力线不佳；图B为联合Infinity胫骨假体和Inborn距骨假体置换术后左踝关节正侧位片，示踝关节间隙恢复，力线良好，假体位置良好

Figure 1 Anteroposterior views of X rays of left ankle with osteoarthritis deformans before and after total ankle arthroplasty. A is view of X rays before operation, showing left ankle stenosis and poor ankle force line; B is view of X rays after total ankle arthroplasty with Inifinity tibia prosthesis and Inborn talus prosthesis, showing that ankle joint space recovered with good force line and prostheses were in good positions

图2 血友病性踝关节炎术前及术后踝关节正侧位X线片。图A为术前右踝关节正侧位，示踝关节明显狭窄、力线不佳；图B为术后右踝关节X线片，示右踝关节间隙恢复，力线良好，假体位置良好

Figure 2 Anteroposterior views of X rays of right ankle with hemophiliac arthritis before and after total ankle arthroplasty. A is view of X rays before operation, showing right ankle stenosis and poor ankle force line; B is view of X rays after total ankle arthroplasty with Inifinity prostheses, showing that ankle joint space recovered with good force line and prostheses were in good positions

图3 血友病性踝关节炎右踝关节置换术后1年双侧踝关节活动度对比，示右侧踝关节活动度明显大于左侧踝关节(左侧行踝关节融合术)。图A为双侧踝关节跖屈活动度；图B为双侧踝关节背伸活动度；图C为双侧踝关节内翻活动度；图D为双侧踝关节外翻活动度

Figure 3 Bilateral ankle motions at one year after total ankle arthroplasty for right ankle with hemophiliac arthritis, showing that motion of the right ankle was better than the left ankle (right side: total ankle replacement, left side: ankle fusion). A is metatarsal flexion motion; B is bilateral dorsal extension motion; C is inversion of bilateral ankles; D is eversion of bilateral ankles

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Early clinical outcome of total ankle arthroplasty with Infinity prosthesis

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Early clinical outcome of total ankle arthroplasty with Infinity prosthesis