微型钢板结合克氏针固定治疗 Lisfranc 损伤  

Treatment of the Lisfranc injury using miniature plate combined with the Kirschner wire

作　　者：燕冰[1] 孙士强[1] 杨通宝[1] 

机构地区：[1]郑州市骨科医院足踝外科,450052

出　　处：《中国实用医刊》2014年第14期11-12,共2页Chinese Journal of Practical Medicine

摘　　要：目的：分析切开复位微型钢板结合克氏针固定治疗 Lisfranc 损伤的临床疗效。方法2010年3月至2013年3月期间收治22例 Lisfranc 损伤患者，其中男15例，女7例；年龄23~62岁，平均39.8岁；致伤原因：车祸伤8例，高处坠落伤5例，重物砸伤3例，运动伤6例；根据 Myerson 损伤分型，A 型6例，B1型7例，B2型4例， C1型3例，C2型2例。受伤距离手术时间为7~11 d，平均8.8 d，采用微型钢板结合克氏针进行治疗。结果12例患者均获得随访，随访时间为10~38个月，平均（21.3±6.25）个月。采用 AOFAS 评分标准进行评定，本研究优12足，良8足，可为2足，优良率为90.9%。结论采用微型钢板结合克氏针固定治疗 Lisfranc 损伤，固定牢靠，有利于早期活动，术后并发症少，临床治疗效果满意。Objective To summarize and analyze the clinical effect of miniature plate combined with the Kirschner wire on the Lisfranc injury. Methods From March 2010 to March 2013,22 patients with Lisfranc injury were treated,including 15 male cases and 7 female cases,and their age was from 23 - 62,with an average of 39. 8 years old. The injury causes including traffic accident in 8 cases,high falling in 5 cases,heavy parts in 3 cases,and sport injury in 6 cases. According to the Myerson injury parting,there were 6 cases of type A,7 cases of type B1,4 cases of type B2,3 cases of type C1 and 2 cases of type C2. The time from injury to surgery was 7 - 11 d,with an average of 8. 8 d. And all pa-tients were treated by miniature plate combined with the Kirschner wire. Results All patients were fol-lowed up,and the follow-up time was 10 - 38 months,with the average of（21. 3 ± 6. 25）months. Ac-cording to the AOFAS scoring standard,12 feet were optimal,8 feet were good,2 feet were fair,and the fine rate was 90. 9% . Conclusions The treatment of the Lisfranc injury by miniature plate combined with the Kirschner wire has strong fixation,less complications and satisfactory clinical effect,and it is also beneficial to early functional training.

关 键 词：LISFRANC 损伤 微型钢板 克氏针 

分 类 号：R687.3[医药卫生—骨科学]