经皮钳外固定治疗跖跗关节骨折脱位的临床研究  

THE TREATMENT OF FRACTUREDISLOCATION OF TARSOMETATARSAL JOINT BY PERCUTANEOUSCLAMP EXTERNAL FIXATION: A Clinical Application Study

作　　者：孟宪杰[1] 莫勋南[1] 姚太顺[1] 任志凯[1] 赵庆安[1] 姚小锐[1] 常旭东[1] 陈柯[1] 莫湘涛[1] 

机构地区：[1]河南省洛阳正骨医院正骨研究所

出　　处：《中医正骨》1998年第4期5-6,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：为解决跖跗关节骨折脱位复位后的固定问题，作者对经皮钳外固定治疗方法进行了临床应用研究。经皮钳固定在第３跖骨基底部外背侧和第１楔骨内侧或第１跖骨基底部内侧，分析认为固定作用相当于Ｌｉｓｆｒａｎｃ韧带的作用，或是相当于在第１、２跖骨基底部之间临时建造了一条跖骨基底间横韧带，固定原理符合跖跗关节的解剖基础。选择性治疗２７例，２３例解剖复位，３例近解剖复位，１例复位失败。随访２４例，平均５年７个月，采用Ａｒｎｔｚ标准，优１６例，良６例，可２例，差０例。认为本法是一种理想的治疗方法。n order to solve the problem of the postreduction fixation of fracturedislocation of tarsometatarsal joint, a clinical application study was performed on the therapeutic method of percutaneousclamp external fixation. The percutaneous clamp was fixated at the dorsolateral side of the 3rd metatarsal base and the medial side of the 1st cuneiform bone or the 1st metatarsal base. Through analysis, it was believed that the action of the fixation could correspond to the effect of Lisfrancs ligament or a horizontal ligament temporarily created between the 1st and 2nd metatarsal bases and the principle of the fixation could accord with the anatomical basis of tarsometatarsal joint. Of 27 cases of the disease selected and treated by this method, 23 obtained anatomical reduction, 3 nearlyanatomical reduction and 1 failure. Through the followup of 24 cases for an average of 67 months, the results according to Arntz Classification were: excellent in 16 cases, good in 6, fair in 2 and poor in 0. The authors considered this method as an ideal therapy and recommended it as the firstselected therapy for the fracturedislocation of tarsometatarsal joint. 

关 键 词：跖跗关节 骨折 脱位 治疗 固定术 经皮钳 

分 类 号：R683.42[医药卫生—骨科学]