视频教学｜踝关节融合术
机器翻译字幕，仅供参考：
in this prentation the anterior approach for access to the ankle will be
在本演示文稿中，将使用前路进入脚踝，
ud three 打电话的英文怎么写7.3 millimeter cannulated screws
rasimwill be inrted to fu the joint one screw will be placed
将插入三颗 7.3 毫米空心螺钉beloved以融合关节，一颗螺钉将被放置
anterolateral one anteromedial and one posturomedial
在前外侧，一颗前内侧和一颗
following the completion of this exerci you should understand
后内侧完成本练习后，您应该
the clinical indications and contraindications
了解临床适应症和禁忌症
the anterior surgical approach to the ankle joint
踝关节的前路手术入路
the preparation of the joint surfaces prior to ankle fusion
踝关节融合前关节面的准备
the correction of the male alignment and
矫正男性对线
the placement of the 7.3 millimeter cannulated screws
和放置 7.3 毫米空心螺钉
ankle fusion using cannulated screws is indicated in cas with ankle joint
使用空心螺钉进行踝关节融合适用于
arthritis associated with extensive cartilage loss
与广泛的踝关节关节炎相关的情况软骨缺损
ankle joint deformity that does not respond to bracing and a history of
对支具无反应的踝关节畸形和
failed conrvative or surgical treatment
保守或手术治疗失败史
contraindications include active infection
禁忌症包括活动性
a poor vascular supply and or soft tissue envelope
感染 血管供应不良和/或软组织包膜
advanced osteonecrosis of the talus and a non-compliant patient
距骨晚期骨坏死和前肢不顺从的
when an anterior approach is planned the surgery is performed with the patient in
患者 计划手术 手术在
a supine position a support is placed under the calf
患者仰卧位进行 小腿下方放置支撑物
the patient is positioned so that the operative area can be visualized with
患者定位以便手术区域可以
the image intensifier a sterile tourniquet can be ud but is
通过图像增强器可视化可以使用无菌止血带，但
not mandatory
不是强制性
the important landmarks include the tibialis anterior tendon and the ehl
的 重要标志 包括胫骨前肌腱和
which are palpated and marked
deni
ehl 触诊和
the incision will be made at least four to five centimeters proximal and at
标记 切口将在踝关节近端至少 4到 5 厘米和
least two to three centimeters distal to the ankle morti in the plane between
远端至少 2 到 3 厘米在这些标志之间的平面上进行榫眼
binggou
the landmarks the skin is incid
切开皮肤
the anterior ankle joint has now been expod the extensor retinaculum which
前踝 关节现已暴露 伸肌支持
runs in a band across the ankle has been incid to expo the tibialis anterior
带以带状穿过脚踝 已切开以暴露胫骨前肌
and ehl tendons the soft tissue retractor has been ud
和 ehl肌腱 软组织牵开器已用于向内侧牵开
to retract the tibialis anterior tendon medially and the ehl laterally
bucket
胫骨前肌腱，外侧牵开
the ankle capsule is now visible a ronjour can be ud to remove soft
ehl 踝关节囊现在可见 ronjour 可用于去除 maj
tissue from the front of the ankle capsule
踝关节囊前部的软组织
in the majority of arthritic ankles there are large osteophytes in the
关节炎的踝
anterior ankle joint that block or obstruct the view into the joint
关节 踝关节前部有大的骨赘，阻碍或阻碍了对关节的观察
for this reason it is typical to remove them with an osteotome or chil
，因此通常在暴露前踝榫眼后用骨刀或凿子将其去除
once the anterior ankle morti is expod any additional soft tissue
任何额外的软组织
adhesions can be freed giving mobility to the ankle
粘连可能是 释放给踝关节活动性 可以将
中文翻译成英语one or two lamina spreaders can be inrted into the ankle joint to
一个或两个椎板扩张器插入踝关节以
distract and allow for visualization
分散注意力并允许可视
a bone curette is now ud to remove any remaining cartilage from the ankle joint
化 现在使用骨刮匙从踝关节去除任何剩余的软骨，
taking special care to clear the posterior aspect by working from
特别注意通过工作从后部清除
posterior to anterior on both tailor and tibial surfaces
完成后，在裁缝和胫骨表面上从后到前，
once this is completed the gutters can also be prepared as well as the surface
也可以准备排水沟以及
knowledgeable
of the fibula and the lateral surface of the talus
腓骨表面和距骨外侧表面，
the lamina spreader is repositioned from medial to lateral which allows the
将椎板扩张器从内侧重新定位到外侧，从而允许
medial gutter to be prepared
内侧排水沟
norat this stage a bur is ud to correct any deformity in alignment in the
在此阶段准备的车针用于矫正
tibiotalar joint and roughen the subchondral bone
胫距关节对齐的任何畸形并粗糙化 软骨下
the lamina spreader is repositioned during the joint preparation to allow
学韩语的地方骨 椎板扩张器在关节准备期间重新定位，以使车
adequate exposure to both sides of the joint for the bur
针充分暴露在关节
at this point a chil can be utilized to feather and further disrupt the
subchondral bone bringing a good bleeding blood supply to the fusion
两侧
surface
the foot is positioned in neutral to slight dorsiflexion with 0 to 10 degrees
表面 足部位于中立位到轻微背屈，外旋 0 到 10
of external rotation and neutral to 4 degrees of valgus
