- 期刊
Ankle Arthrodesis: Internal Non-Compression Arthrodesis versus Internal Compression Arthrodesis
踝關節融合術：非壓迫式內固定及壓迫式內固定之比較
摘要
踝關節融合術目前仍被認為是治療大部分疼痛性踝關節炎的標準方法，但是卻有多種融合方式。這篇論文是我們踝關節融合的經並且比較34例非壓迫性布萊爾踝融合術及32例壓迫性交叉式雙骨釘踝融合術的結果。以上都由同一位醫師來執行所有手術。布萊爾踝融合術這組包括21位男性及13位女性平均年齡42歲（18-70歲）且平均追踨時間為38.6個月（26-62個月）。癒合率為91.2％且平均癒合時間為5.6個月（2-10個月）。有3例無法癒合。壓迫性交叉式雙骨釘融合術這組包括20位男性及12位女性平均年齡為45歲（20-86歲）且平均追蹤時間為38.3個月（15-81個月）。癒合率為96.9％且平均癒合時間2.7個月（1.5-4.4個月）。有兩例無法癒合。我們的結論是壓迫性交叉式雙骨釘踝融合術比布萊爾踝融合術有較短的癒合時間
關鍵字
無資料並列摘要
Ankle arthrodesis is still considered to be the standard treatment for most disabling types of ankle arthritis, but fusion methods are varied. We report our experience of ankle arthrodesis and compare a group of 34 cases treated by Blair’s non-compression arthrodesis to another group of 32 cases treated by internal compression arthrodesis using two crossed screws. The same surgeon performed all the operations. The blair’s non-compression arthrodesis group included 21 males and 13 females with an average age of 42 y/o (range 18-70 y/o) and an average follow up period of 38.6 months (range 26-62 months). The union rate was 91.2% and the average union time was 5.6 months (range 2-10 months). There were three cases of non-union. The cross-screw compression arthrodesis group included 20 males and 12 females with an average age of 45 y/o (range 20-86 y/o) and an average follow up period of 38.3 months (range 15-81 mnoths). The union rage was 96.9% and the average union time was 2.7 months (range 1.5-4.4 months). There was one case of non-union. We conclude that our cross-screws compression arthrodesis with its shorter fusion time was found to be superior to the Blair’s non-compression arthrodesis.