关键词: 胫距跟关节融合, 外侧入路, 倒置Philos钢板, 内侧螺钉

Abstract: Objective: To evaluate clinical efficacy of the lateral incision for tibial talocalcaneal Arthrodesis by using inverted Philos Plate and Medial Hollow screw. Methods: In between June 2012 to December 2014, lateral approach incision of ankle inversion Philos plate and the medial tibial subtalar joint with cannulated screws for the treatment of 12 cases of ankle joint lesion, post-operative follow up after 1 month and 3,6,12 months, for observation of wound healing, pain, subtalar Joint Fusion, fixation and ankle function. Results Patients were followed up after a mean follow-up time of 18.6 months. After 2 weeks of operation incision healed properly, no infection and the tissue necrosis; lateral side numb ness observed in one case, which disappeared after 3 months. No one complain about painful movement of ankle joint, on CT examination good fusion of ankle joint, and none of the internal fixators loose after 3 months of operation. After 12 months of operation, no one complained about painful movement ankle joint, good fusion and no any migration of the internal fixators. Ankle and lateral foot score average was77.5 according to AOFAS score. Conclusion: clinical efficacy of the lateral incision for tibial talocalcaneal Arthrodesis by using inverted Philos Plate and Medial Hollow screw has excellent clinical AOFAS score, which can meet the livelihood desire for relieving ankle joint pain. As well this is also effective on severe deformity correction of ankle joint.