A Novel Total Ankle Arthroplasty with the Second Generation Prosthesis

第二代全人工踝關節置換術

陳沛裕(Pei-Yu Chen) ； 江長蓉(Chang-Jung Chiang) ； 羅浩儒(Hao-Ru Luo) ； 郭宜潔(Yi-Jie Kuo) ； 孫瑞昇(Jui-Sheng Sun) ； 曾永輝(Yang-Hwei Tsuang)

《北市醫學雜誌》 3卷8期 (2006/08) Pp. 808-815

https://doi.org/10.6200/TCMJ.2006.3.8.07

摘要

末期踝關節炎的手術治療選擇有：膝下截肢、踝關節融合術、以及全人工踝關節置換術。雖然全人工踝關節置換術理論上有許多優點包括：保留關節的活動度、較好的肢體功能、以及較少的鄰近關節退化性病變，但由於第一代的人工關節成績不佳，因此在臺灣已經很久沒有使用。有鑑於近來第二代的人工踝關節使用於特定病患族群的結果已有相當改善，我們為一位類風溼關節炎併發左踝關節破壞的87歲女性病患實施了此一新引進的第二代全人工踝關節置換手術，並得到成功的短期治療成果。特在此報告整個臨床過程，並針對近來有關全人工踝關節置換術的文獻加以整理與討論。

關鍵字

踝關節 ； 關節炎 ； 關節置換

並列摘要

Surgical options for end-stage ankle arthritis include below-knee amputation, ankle arthrodesis, and total ankle arthroplasty. Although total ankle arthroplasty possesses the theoretical advantages of preserving a mobile joint, better limb function, and less adjacent joint degeneration, its use was abandoned in Taiwan due to poor outcome of the ”first-generation” designs. Based on recent favorable reports of the ”second-generation” prostheses for certain patient populations, a 78-year-old female patients with rheumatoid arthritis and destructed ankle joint was elected to receive the newly introduced total ankle arthroplasty, and achieved successful short-term result. The clinical course and pictures were presented, and recent medical evidences of total ankle arthroplasty were discussed.

並列關鍵字

ankle joint ； arthritis ； arthroplasty