대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)

  • 제15권3호
  • /
  • Pages.132-138
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  • 2011
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  • 1738-3757(pISSN)
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  • 2288-8551(eISSN)
대한족부족관절학회 (Korean Foot & Ankle Society)
권호 표지

족관절 인공 관절 치환술

Total Ankle Replacement

  • 최기원 (연세대학교 의과대학 정형외과학교실) ;
  • 최우진 (연세대학교 의과대학 정형외과학교실) ;
  • 이진우 (연세대학교 의과대학 정형외과학교실)
  • Choi, Gi-Won (Department of Orthopaedic Surgery, Yonsei University College of Medicine) ;
  • Choi, Woo-Jin (Department of Orthopaedic Surgery, Yonsei University College of Medicine) ;
  • Lee, Jin-Woo (Department of Orthopaedic Surgery, Yonsei University College of Medicine)
  • 투고 : 2011.07.20
  • 심사 : 2011.08.16
  • 발행 : 2011.09.15
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초록

Although first generation total ankle replacement (TAR) had high failure rates, recent investigations have reported good results of the newer generations of TAR due to advances in implant designs and techniques. Patient selection is critical to performing TAR to obtain promising outcomes and to decrease complication rate. As the current concepts of correcting the accompanying deformity have been established, TAR in moderate to severe varus deformity of the ankle result in favorable outcomes and indications for TAR are expanding. Correction of deformity and hindfoot fusion should be performed in conjunction with TAR if needed. If radiolucency around components or osteolysis is progressive during follow-up, CT should be carried out as a confirmative diagnostic method. TAR is an effective treatment modality alternative to ankle fusion. However, we should recognize that TAR is a demanding procedure, which requires accurate techniques, enough experience, and preoperative plan for a concomitant deformity.

키워드

참고문헌

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