Zusammenfassung
Trotz anatomischer und biomechanischer Verbesserungen bleibt die Langzeitprognose oberer Sprunggelenkendoprothesen hinsichtlich der Überlebensrate problematisch. Bei fehlgeschlagener oberer Sprunggelenkendoprothesenimplantation stellt die Konversion in eine obere Sprunggelenkarthrodese eine zuverlässige Behandlungsmethode dar. Trotzdem ist die Durchführung aufgrund der Knochendefekte, des prekären Weichteilzustands und auch Erhaltung der Beinlänge technisch anspruchsvoll und aufwendig. Es besteht das Potenzial zu erheblichen Einschränkungen der Lebensqualität als auch Gesamtfunktion des Fuß- und Sprunggelenks. Der vorliegende Artikel behandelt das Thema der Arthrodese nach gescheiterter oberer Sprunggelenkendoprothesenimplantation und schlägt Algorithmen für die Therapie vor.
Abstract
Despite recent anatomical and biomechanical improvements the longevity of current total ankle replacements remains limited. Once total ankle replacement has failed conversion into ankle arthrodesis provides a viable option and should therefore be considered. However, due to the massive bone loss, precarious soft tissues and in order to preserve leg length, this kind of surgical treatment is considered to be technically demanding with potential impairment of the quality of life and decreased global foot and ankle function as well. The present article focuses on salvage ankle arthrodesis after failed total ankle replacement and seeks to provide a usable treatment algorithm.
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Espinosa, N., Wirth, S. Sprunggelenkarthrodese nach gescheiterter Endoprothesenimplantation. Orthopäde 40, 1008–1017 (2011). https://doi.org/10.1007/s00132-011-1830-6
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DOI: https://doi.org/10.1007/s00132-011-1830-6