摘要
目的:探讨跖跗关节脱位及骨折脱位的治疗方法及临床疗效。方法:对1998—2004年收治的74例跖跗关节损伤患者进行了回顾性研究,本组病例复位后分别采用石膏外固定24例、克氏针内固定22例、螺钉内固定28例。其中,单纯脱位型21例,骨折脱位型53例。结果:采用美国骨科矫形足踝协会(AOFAS)足评分标准评价随访患者的足术后功能状况,并根据不同的分型进行了优良率的比较。结论:解剖复位螺钉内固定可使跖跗关节得到长期有效的固定,取得较好的治疗效果,但是单纯脱位型较骨折脱位型预后差。
Objective：To evaluate the treatment methods and clinical effect of dislocation and fracture-dislocation of tarsometatarsal joint.Method：We performed a retrospective study of patients with Lisfranc injury in a seven-year period （1998-2004）. Among seventy-four patients, twenty-four were treated with plaster fixation, twenty-two with Kirschner wire fixation and twenty-eight with screw fixation. Twenty-one injuries were purely ligamentous, and fifty-three were combined ligamentous and osseous.Result：Seventy-four patients were followed for an average of eighteen months.Patient outcome was assessed with the American Orthopedic Foot and Ankle Society （AOFAS） midfoot score. Conclusion：Anatomical reduction and screw fixation of a Lisfranc injury leads to the best long-term outcomes,but purely ligamentous injuries have poor outcomes despite surgical managements.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2006年第12期1101-1103,共3页
Chinese Journal of Rehabilitation Medicine
关键词
跖跗关节
脱位及骨折脱位
螺钉固定
tarsometatarsal joint ： dislocation
fracture-dislocation
screw fixation
