Die Arthrodese des oberen Sprunggelenks und Rückfußes

Zusammenfassung

Arthrodesen des oberen Sprunggelenks und Rückfußes sind etablierte und weit verbreitete Verfahren zur Behandlung fortgeschrittener Arthrosen des Sprunggelenks und Rückfußes, die überwiegend posttraumatisch bedingt sind. Auch Fehlstellungen können für die Arthrose ursächlich sein. Arthrodesen haben nach wie vor ihre Berechtigung. Der Artikel bietet ein Update zum Thema.

Abstract

Arthrodesis of the upper ankle and subtalar joint are still frequently used and at the moment the gold standard in the therapy of severe arthritis and deformity of the ankle joint and hindfoot. The spectrum of indications is wide, beginning from posttraumatic or degenerative changes to postinfectious, rheumatoid and diabetic causes of arthritis and as a salvage procedure after failed ankle arthroplasty. The types of arthrodesis have to be differentiated from each other: tibiotalar, subtalar and tibiotalcalcaneal fusion. Soft tissue conditions have to be taken into account; these and individual factors like comorbidities and osseous conditions require an individual planning of the approaches and types of fixation.

Schlüsselwörter

Sprunggelenk - subtalar - tibiotalokalkaneal - Arthrosis

Key words

ankle - arthrodesis - subtalar - tibiotalocalcaneal - arthrosis

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