30년 전 성공적인 발목 유합술 이후 발생한 주변 관절 관절염 환자에 대한 발목 인공관절 전환술: 증례 보고
Conversion to Total Ankle Replacement Arthroplasty for a Patient with Talo-Navicular Arthritis that Began 2 Years ago after Successful Ankle Fusion 30 Years Earlier: A Case Report
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This paper reports the clinical efficacy of conversion total ankle arthroplasty as an intervention for adjacent joint arthritis following ankle arthrodesis. The case involved a 61-year-old male with a 30-year history of successful ankle fusion who presented with progressive ankle pain with a 2-year duration. The surgical approach included the conversion of ankle arthrodesis to total ankle replacement com bined with talo-navicular joint arthrodesis to address the symptomatic adjacent joint arthritis. The postoperative follow-up at 2 years re vealed significant pain reduction and enhanced functional outcomes. The findings suggested that conversion to total ankle replacement is a viable therapeutic alternative for patients with post-arthrodesis pain. In addition, fibula-preserving ankle arthrodesis techniques may help facilitate potential subsequent conversion to total ankle arthroplasty in cases where ankle fusion is indicated.
Abstract
This paper reports the clinical efficacy of conversion total ankle arthroplasty as an intervention for adjacent joint arthritis following ankle arthrodesis. The case involved a 61-year-old male with a 30-year history of successful ankle fusion who presented with progressive ankle pain with a 2-year duration. The surgical approach included the conversion of ankle arthrodesis to total ankle replacement com bined with talo-navicular joint arthrodesis to address the symptomatic adjacent joint arthritis. The postoperative follow-up at 2 years re vealed significant pain reduction and enhanced functional outcomes. The findings suggested that conversion to total ankle replacement is a viable therapeutic alternative for patients with post-arthrodesis pain. In addition, fibula-preserving ankle arthrodesis techniques may help facilitate potential subsequent conversion to total ankle arthroplasty in cases where ankle fusion is indicated.