跖跗关节骨折脱位36例治疗分析  

Analysis of Results of 36 Cases Lisfranc Fracture-dislocations

作　　者：高广兴[1] 王宗岭[1] 司春祥[1] 

机构地区：[1]胜利石油管理局临盘医院骨科,山东临邑251507

出　　处：《中国现代医生》2009年第12期44-45,共2页China Modern Doctor

摘　　要：目的探讨跖跗关节骨折脱位的治疗方法及疗效。方法回顾性研究10年间36例跖跗关节脱位病人闭合复位外固定治疗(7例)和开放复位外固定治疗(29例)的结果。平均随访4.5年,按照足的外形、功能、疼痛、X线片形态等进行评定。结果保守治疗优良率57.14%,手术治疗优良率68.97%。结论除少数移位轻微的单关节脱位患者可复位后石膏外固定治疗外,应提倡早期手术治疗,解剖复位和稳定的固定可获得最佳疗效。Objective To explore the treatment method and effect of acute Lisfranc Methods A total of 36 patients with Lisfranc fracture-dislocations had received closed reduction（in 7 cases） or open reduction and internal fixation（in 29 cases） treatment. The patients were then followed up for averaged 4.5 years. It was classified basis of deformity, function, residual pain and radiological features. Rseults The good and fair rate of closed reduction was 57.14%, open reduction and internal fixation was 68.97%. Conelusion Non-displaced injuries can be treated by cast immobilization and protect weight bearing. Optimal result will be achieved by open reductions and intermal fixations.

关 键 词：跖跗关节 骨折脱位 骨折内固定术 

分 类 号：R683.42[医药卫生—骨科学]