切开复位内固定治疗Lisfranc关节损伤

Open reduction and internal fixation for treatment of Lisfranc joint injuries

目的评价切开复位内固定治疗Lisfranc关节损伤的治疗效果。方法使用切开复位方法,选用螺丝钉、克氏针及AO小钢板作为内固定的材料,对51例57侧Lisfranc关节损伤患者进行治疗。结果术后随访4～32个月,中位值为24个月。根据Maryland足部功能(MFS)评分评估疗效,优14侧(24.6%),良28侧(49.1%),可10侧(17.5%),劣5侧(8.8%),总体优良率为73.7%。结论使用切开复位内固定治疗Lisfranc关节损伤,可以取得良好的效果。

Objective To evaluate the therapeutic effects of open reduction and internal fixation（ORIF） for treatment of Lisfranc joint injuries. Methods Fifty-one patients with Lisfranc joint injuries（57 sides） were managed with open reduction as well as internal fixation with screws, Kirschner wires and AO plates. The patients were followed up for 4-32 months（median 24 months）, and the therapeutic effects were evaluated according to Maryland Foot Score（MFS）. Results In the follow-up study of the patients, according to MFS, excellent clinical results was achieved in 14 cases（24. 6%）, good results in 28（49. 1%）, acceptable results in 10（17.5%）, and poor results in 5（8.8%）, with the total excellent and good results being 73.7%. Conclusion ORIF may achieve satisfactory clinical results for the treatment of Lisfranc joint inj uries.