陈旧性Lisfranc关节损伤的诊断与治疗

The diagnosis and treatment of the old lisfranc fracture

目的 分析陈旧性Lisfranc损伤的产生及治疗方式.方法 从2007年5月～2011年5月共收治陈旧性Lisfranc骨折脱位15例,6例行切开复位内固定,9例行关节融合术.结果按美国骨科足踝外科协会 （AOFAS）中足部分的评分标准：60～70分1例、70～80分2例、80～90分9例、90～100分3例.结论 陈旧性Lisfanc损伤可出现中足塌陷及扁平足畸形,临床医生在遇到中足扭伤的患者时,要提高警惕,以免漏诊,早期及时的诊治是避免并发症的关健.

Objective To analyze and discuss the cause and the treatment of old Lisfranc fracture-dislocation. Methods From may 2007 to may 2011, we treated 15 cases of old Lisfranc fracture-dislocation. 6 cases were treated with open reduction and internal fixation, and 9 with arthrodsis. Results According to the AOFAS for midfoot, 1 case scored 60 to 70,2 cases scored 70 to 80,9 cases scored 80 to 90, 3 cases scored 90to 100. Conclusion Anatomical reduction and stable fixation of Lisfranc injuries is the principle that leads to the best outcomes. Since the inclidence of Lisfranc fracture-dislocation tends to increase, clinic orthopedists must take great care to examine the midfoot strain lest a case should be overlooked.