克氏针及中空螺钉内固定技术治疗Lisfranc关节损伤的临床效果

Clinical effect of Kirschner wire and hollow screw internal fixation technique in treating Lisfranc joint injury

目的分析克氏针及中空螺钉内固定技术治疗Lisfranc关节损伤患者的效果。方法选择我院2010年1月~2015年1月收治的36例Lisfranc关节损伤患者为研究对象,将其随机分为对照组和治疗组,各18例。对照组患者应用克氏针内固定;治疗组患者采用中空螺钉内固定。采用美国矫形足踝协会（AOFAS）中足评分标准,对患者术后足部功能进行评估。结果治疗组良好率为88.9%,手术前后足部关节功能评分分别为（42.06±6.13）、（83.58±5.32）分;对照组良好率为72.2%,手术前后足部功能评分分别为（41.18±5.06）、（65.58±6.62）分;两组患者治疗后组间良好率、足部关节功能评分比较,差异有统计学意义（P〈0.05）。结论中空螺钉内固定技术对Lisfranc关节损伤患者疗效较显著。

Objective To research the effect of application Kirschner wire and hollow screw internal fixation technique in treating Lisfranc joint injury. Methods 36 Lisfranc joint injury patients from January 2010 to January 2015 of our hospital were randomly divided into control group and treatment group.Each group was 18 cases.Patients in control group were treated by Kirschner wire for internal fixation and patients in treatment group were treated by hollow screw internal fixation.Postoperative foot function was evaluated by using foot score standard in AOFAS. Results The treatment good rate in hollow screw technique treatment group was 88.9%,the foot joint function score before and after operation was respectively（42.06 ±6.13）and（83.58 ±5.32）points;The treatment good rate in Kirschner wire technique treatment group was 72.2%,the foot joint function score before and after operation was respectively（41.18 ±5.06） and（65.58±6.62） points.The treatment effects and foot joint function score in treatment group was obvious better than that of control group respectively,with statistical difference（P〈0.05）. Conclusion Hollow screw internal fixation technique has obvious effects in Lisfranc joint injury patients.