摘要
背景:STAR踝关节假体可以提供踝关节的自由运动,配套的器械操作简单、定位准确、安装时保证假体的平衡,且截骨量小。目的:查阅相关的文献资料来对STAR假体的发展史、设计特点、临床应用适应证、禁忌证、临床疗效及其评价系统进行综述。方法:以下列英文检索词:ankle replacement AND star、ankle arthroplasty AND star、ankle prosthesis AND star,以及中文检索词:踝关节,置换,STAR假体,检索2000年1月至2012年12月Medline、PubMed、EMbase和Cochrane library数据库的相关文献。选择与踝关节假体进展、踝关节假体置换的适应证及禁忌证有关文献,以及踝关节置换与Kofoed评分、Mazur评分、AOFAS评价系统有关研究文献。纳入36篇符合标准的文献进行分析阐述。结果与结论:至今已有3代全踝关节假体相继问世,国内使用最广的是STAR假体。改进的假体均采用踝关节运动载荷型设计,对假体的骨内部分、切骨、固定方式以及消除有害应力等方面都有很大的改善。对15篇文献回顾STAR假体置换导致失败的原因,最常见为假体松动、力线异常、感染。踝关节的解剖结构以及独特的生物力学特点决定了人工踝关节置换后并发症的复杂性,对置换患者的选择以及踝关节置换技术水平的提高都能降低置换后并发症的发生。
BACKGROUND： STAR ankle prosthesis can follow free movement of the ankle joint, and ancillary equipment of this prosthesis has advantages of easy operation, accurate positioning, ensuring prosthesis balance, and minimal resection. OBJECTIVE： To summarize the brief history, design features, indications, contraindications, efficacy and evaluation system of STAR prosthesis. METHODS： Using the search terms ＂ankle replacement AND star＂, ＂ankle arthroplasty AND star＂, ＂ankle prosthesis AND star＂, ＂ankle＂, ＂replacement＂, ＂STAR prosthesis＂, the relevant literature published from January 2000 to December 2012 were searched from MEDLINE, PubMed, EMbase, and Cochrane library database. We selected literatures that involve progress of ankle prosthesis, indications, contraindications, and Kofoed, Mazur, AOFAS evaluation system. Thirty-six studies were identified as meeting the eligibility criteria. RESULTS AND CONCLUSION： So far, three generations of total ankle prosthesis have been developed. Theprosthesis that most widely used in our country is STAR. Prosthetic ankle load design greatly improves the inner part of the bone prosthesis, bone resection method, fixation method and the elimination of harmful stress. Failure of STAR prosthesis in 15 papers results from prosthesis loosening, power line abnormalities, infection. The anatomy and unique biomechanics characteristics of the ankle elicit complex complications after ankle replacement, and patient＇s selection and improving ankle replacement technology can both reduce the incidence of complications after replacement.
出处
《中国组织工程研究》
CAS
CSCD
2014年第9期1410-1415,共6页
Chinese Journal of Tissue Engineering Research
作者简介
林清，男，1986年生，福建省福清市人，汉族，兰州大学第一临床医学院在读硕士，主要从事创伤骨科的研究。
通讯作者：陈志信，博士，主任医师，甘肃省人民医院骨一科，甘肃省兰州市730000
