跖跗关节损伤——切开复位内固定术与一期关节融合术的比较

Lisfranc joint injury--Comparison of open reduction and internal fixation with primaryarthrodesis （ Update to 6/07 issue）

2项随机对照研究的结论认为，与关节融合术治疗跖跗关节损伤相比，采用切开复位内固定术（ORIF）治疗再次手术风险的几率增加300％。另外，尽管两种治疗方法均能获得解剖复位，并且似乎关节融合结局更好，但是何种方法更有利于功能恢复或疼痛缓解目前仍无明确结论。

Summary Evidence from two randomized controlled trials suggests a marked increase in the need for reoperation in those receiving ORIF compared with arthrodesis, with a risk increase of approximately 300%. Anatomic reduction was achieved initially by either method, and no definitive conclusions can be made about a preference in terms of functional outcomes although they appear to be better for arthrodesis, or regarding pain.