切开复位内固定治疗早期Lisfranc关节损伤的可行性研究

Feasibility of Open Reduction and Internal Fixation in Treating Early Lis-franc Joint Injuries

目的研究切开复位内固定治疗早期Lisfranc关节损伤的可行性。方法整群选取2010年6月—2015年2月该院收治的75例Lisfranc关节损伤患者随机分为对照组(n=37,给予闭合复位内固定治疗)和实验组(n=38,给予切开复位内固定治疗),比较两组足部评分和解剖复位情况。结果实验组解剖复位率97.4%明显高于对照组75.7%,差异有统计学意义(P<0.05);治疗后,实验组足部评分(91.53±4.83)分显著优于对照组(91.53±4.83)分,差异有统计学意义(P<0.05)。结论切开复位内固定治疗早期Lisfranc关节损伤可显著提高复位质量和治疗效果,具有积极的临床使用和推广价值。

Objective To study the feasibility of open reduction and internal fixation in treating early Lisfranc joint injuries.Methods 75 patients with Lisfranc joint injuries admitted to our hospital between June 2010 and January 2015 were randomized into control group in which the 37 patients were treated with closed reduction and internal fixation, and experimental group in which the 38 patients underwent open reduction and internal fixation. Maryland foot score and anatomical reduction were compared between the two surgical methods. Results The anatomical reduction rate was higher in the experimental group than in the control group(97.4%) vs(75.7%); after treatment, the Maryland foot score was higher in the experimental group than in the control group(91.53 ±4.83) vs(79.59 ±4.57), and the differences above were both statistically significant(P <0.05). Conclusion Open reduction and internal fixation for the treatment of early Lisfranc joint injury can significantly improve the quality of reduction and outcomes, therefore it's worthy of clinical application and promotion.