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相关概念视频

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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相关实验视频

Updated: Sep 9, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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在HINTEGRA整体关节置换后的骨解:放射图案,对齐关联和长期结果

Eric Locke1, Roxane Heroux-Legault1, Maram Alothman2,3

  • 1Division of Orthopaedic Surgery, University of Ottawa, Ottawa, ON, Canada.

Foot & ankle orthopaedics
|September 3, 2025
PubMed
概括
此摘要是机器生成的。

使用HINTEGRA假肢整体关节置换 (TAR) 后,骨质疏松很常见,通常在手术后几年出现. 渐进性囊和错位可能会增加修复风险,但大多数情况下不会导致失败.

关键词:
印度尼西亚骨质溶解整体脚置换

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科学领域:

  • 整形外科手术
  • 生物材料科学
  • 放射学

背景情况:

  • 完全关节置换 (TAR) 是末期关节关节炎的一种手术选择.
  • 导致无菌松动的骨解仍然是TAR失效的重要原因.
  • HINTEGRA 假肢是一种常用的 TAR 植入物.

研究的目的:

  • 评估 HINTEGRA 完全关节置换术后骨质溶解的发生率和结果.
  • 鉴定与骨解及其临床后果相关的危险因素.

主要方法:

  • 在2006年至2014年期间对51个HINTEGRA TAR进行了后续审查.
  • 对植入物定位,骨解囊的存在,位置和进展进行放射性评估.
  • 骨解与重新手术和修复率的相关性.

主要成果:

  • 在平均5. 8年的随访期间,在37名患者中发现了84个骨解囊.
  • 囊的数量和大小随着时间的推移而增加,最常见的是骨后部.
  • 进展性囊和冠状元错位与重新手术有关,尽管大多数囊不会导致临床失败.

结论:

  • 在HINTEGRA TAR中,骨质溶解是常见的放射性发现,特别是在长期随访时.
  • 渐进的骨解和假肢错位是植入物松动和重新操作的潜在风险因素.
  • 虽然大多数骨解病变是无症状的,但严重的进展需要密切监测.