실패한 족관절 인공관절 치환술 후 큰 골결손에서 내고정 없이 시행한 족관절 구제술: 증례 보고
Ankle Salvage Procedure without Internal Fixation for Large Bone Defect after Failed Total Ankle Arthroplasty: A Case Report
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In treatment of failure in ankle joint replacement therapy, talar avascular necrosis with massive bone defect, talus fracture with severecomminution and bone defect and ankle dislocation, treatment of large bone defects is considerably important for ankle joint stabilityand union, therefore, the choice of treatment for large bone defects is use of femoral head or iliac crest bone graft and rigid internal fixation. Because first generation total ankle arthroplasty performed for the first time using a cemented fixation technique requires a largeamount of bone resection during re-surgery and there is some possibility of a larger bone defect after removal of implants, in cases whereprosthesis for the defect is needed, performance of palliative femoral head or iliac crest bone graft and rigid internal fixation can be difficult. We report on a case of a 48-year-old woman who had experienced ankle pain for 25 years since undergoing total ankle arthroplasty. Because the patient had little ankle motion and rigid soft tissue despite a large bone defect caused by aseptic loosening, a good outcomewas obtained only for the femoral cancellous bone graft using allo femoral head without internal fixation.
Abstract
In treatment of failure in ankle joint replacement therapy, talar avascular necrosis with massive bone defect, talus fracture with severecomminution and bone defect and ankle dislocation, treatment of large bone defects is considerably important for ankle joint stabilityand union, therefore, the choice of treatment for large bone defects is use of femoral head or iliac crest bone graft and rigid internal fixation. Because first generation total ankle arthroplasty performed for the first time using a cemented fixation technique requires a largeamount of bone resection during re-surgery and there is some possibility of a larger bone defect after removal of implants, in cases whereprosthesis for the defect is needed, performance of palliative femoral head or iliac crest bone graft and rigid internal fixation can be difficult. We report on a case of a 48-year-old woman who had experienced ankle pain for 25 years since undergoing total ankle arthroplasty. Because the patient had little ankle motion and rigid soft tissue despite a large bone defect caused by aseptic loosening, a good outcomewas obtained only for the femoral cancellous bone graft using allo femoral head without internal fixation.
참고문헌 (9)
- Bruggeman NB, "Arthrodesis after failed total ankle arthroplasty", Tech Foot Ankle Surg, 1, pp.60~68 (2002)
- Groth HE, "Salvage procedures for complications of total ankle arthroplasty", Clin Orthop Relat Res, (224), pp.244~250 (1987)
- Lord G, "Total ankle prosthesis. Technic and 1st results. Apropos of 12 cases", Rev Chir Orthop Reparatrice Appar Mot, 59, pp.139~151 (1973)
- Kitaoka HB, "Clinical results of the Mayo total ankle arthroplasty", J Bone Joint Surg Am, 78, pp.1658~1664 (1996)
- Berkowitz MJ, "Salvage arthrodesis after failed ankle replacement : surgical decision making", Foot Ankle Clin, 17, pp.725~740 (2012)
- Pelton K, "Tibiotalocalcaneal arthrodesis using a dynamically locked retrograde intramedullary nail", Foot Ankle Int, 27, pp.759~763 (2006)
- Jeng CL, "Tibiotalocalcaneal arthrodesis with bulk femoral head allograft for salvage of large defects in the ankle", Foot Ankle Int, 34, pp.1256~1266 (2013)
- Schill S, "Ankle arthrodesis with interposition graft as a salvage procedure after failed total ankle replacement", Oper Orthop Traumatol, 19, pp.547~560 (2007)
- McCoy TH, "Circular external fixator-assisted ankle arthrodesis following failed total ankle arthroplasty", Foot Ankle Int, 33, pp.947~955 (2012)