踝关节和(或)距下关节的损伤破坏可导致足部疼痛,功能受限。为使得患者减少疼痛,保持足踝部稳定,可行胫距跟关节融合术,即对踝关节和距下关节同时融合。融合手术常见的固定方法有外固定支架、螺钉、髓内钉、钢板等。选择合适手术方式对患者愈后有着重要的意义。胫距跟关节融合术的发展目标为:简单的技术,出色的稳定性,较高的愈合率,最大程度减少并发症,提高患者的满意率。

The breaking of ankle and or subtalar joint would lead to pain and functional limitation of the foot.The tibiotalocalcaneal arthrodesis(TTCA) refers to the tibiotalar joint and subtalar joint,simultaneously with the joint repair and integration,easing the pain of the foot and ankle to maintain stability.There are multiple materials with tibiotalocalcaneal arthrodesis,such as screws,external fixation,intramedullary nail and blade plate.It is important that suitable method of this operation should be selected. It is the objective of arthrodesis development to achieve a higher satisfaction rate for patients by adopting the simple technology,keeping the outstanding stability,reaching the higher healing rate and reducing the soft tissue damage and complications to maximal extent.