摘要
目的:探讨Lisfranc损伤不同手术方式的临床疗效.方法:2008年1月~2013年1月,我科共收治Lisfranc损伤手术患者67例,按Myerson分型A型6例,B1型3例,B2型19例,C1型7例,C2型32例,采用切开复位空心钉、钢针内固定或空心钉、钢板及钢针内固定,必要时行部分跖跗关节融合等手术方式.结果:平均手术时间75分钟;术后65例切口1期愈合,2例2期愈合者均合并有糖尿病,所有患者均获随访,平均时间22个月,按照美国足踝外科协会(AOFAS)中足评分标准进行评价:优38例,良23例,可6例,优良率91.04%.结论:根据损伤的不同分型及跖跗关节面的损伤程度采用不同的手术方式治疗Lisfranc关节损伤,均可取得满意的临床疗效.
Objective: To discuss the clinical results of the treatment of Lisfranc Injury using different fixation.Methods: From January 2008 to January 2013,67 patients with Lisfranc injuries were treated by surgical operation included ORIF using Hollow nails and Kirschner,or using Hollow nails、Plate and Kirschner,or part Lisfranc fusion if necessary etc.According to Myerson's classification,there were 6 cases of A type injuries,19 cases of B2 injuries ,7 cases of C1 injuries and 32 cases of C2 injuries.Results: All the wounds were healed primarily with a mean operative time of 75 min except 2 patients with diabetes.All patients were followed up averaged 22 months.According to AOFAS (American Orthopaedic Foot and Ankle Society) midfoot score evaluation criteria:Excellent 38 cases,Good 23 cases,normal 6 cases.Good rate 91.04%.Conclusion: Using different surgical treatment for Lisfranc joint injuries according to the degree of injury and different type of Lisfranc injuries,Lisfranc injuries can be surgically treated well.
出处
《中国伤残医学》
2017年第11期23-25,共3页
Chinese Journal of Trauma and Disability Medicine
