切开复位内固定术治疗Lisfranc损伤对患者足部恢复、并发症的影响  

Effect of open reduction and internal fixation on the foot recovery and complications of patients with Lisfranc injury

作　　者：刘剑军[1] 谢静波[1] 鄢秋元[1] LIU Jianjun;XIE Jingbo;YAN Qiuyuan(No.1 Department of Orthopedics,the People＇s Hospital of Fengcheng City in Jiangxi Province,Fengcheng 331100,China)

机构地区：[1]江西省丰城市人民医院骨一科,江西丰城331100

出　　处：《中国现代医生》2018年第29期65-67,70,共4页China Modern Doctor

摘　　要：目的探讨切开复位内固定术治疗Lisfranc损伤对患者足部恢复、并发症的影响。方法选取2014年4月~2018年4月我院收治的Lisfranc损伤患者50例,按随机数字表法将其分为实验组与对照组(各25例),其中实验组患者采取切开复位内固定术治疗,对照组患者采取关节融合术治疗,经不同方式治疗后对比两组患者足部功能恢复情况及术后并发症发生情况。结果治疗后,两组患者Maryland足功能评分(疼痛、功能、外观、活动度、总分)较治疗前比较显著上升,实验组Maryland足功能评分显著高于对照组(P<0.05);治疗后,实验组足部功能恢复优良率(88.00%)显著高于对照组(56.00%)(P<0.05);治疗后,实验组出现并发症(切口边缘皮肤坏死、骨性关节炎、骨不愈合、足部疼痛)总发生率(8.00%)略低于对照组(20.00%),但差异无统计学意义(P>0.05)。结论临床采用切开复位内固定术治疗Lisfranc损伤可明显促进患者足部功能恢复,提升其临床疗效同时,减少相应并发症发生风险,因此临床推广应用价值较高。Objective To investigate the effect of open reduction and internal fixation on the foot recovery and complications of patients with Lisfranc injury. Methods 50 patients with Lisfranc injury who were admitted to our hospitalfrom April 2014 to April 2018 were selected. According to the random number table method, they were divided into experimental group and control group （with 25 cases in each group）. Among them, the experimental group was given openreduction and internal fixation for treatment. The control group was given arthrodesis. After different treatment methods,the recovery of foot function and postoperative complications were compared between the two groups. Results Aftertreatment, the Maryland foot function scores （pain, function, appearance, activity, total score） were significantly higherthan those before treatment in both groups. The Maryland foot function score in the experimental group was significantlyhigher than that in the control group（P〈0.05）; after treatment, the excellent and good rate of recovery of foot function inthe experimental group （88.00%） was significantly higher than that in the control group （56.00%） （P〈0.05）; after treatment,the total incidence rate of complications（skin necrosis of cut edge, osteoarthritis, bone nonunion, and foot pain） was slightlylower in the experimental group （8.00%） than that in the control group （20.00%）, but the different was not statistically signifieant （P〉0.05）. Conclusion Clinical treatment of Lisfranc injury with open reduction and internal fixation can significantly promote the recovery of foot function in the patients, improve its clinical efficacy and reduce the risk of complications. Therefore, its value of clinical promotion and application is higher.

关 键 词：LISFRANC损伤 切开复位内固定术 关节融合术 足部功能 并发症 

分 类 号：R687.3[医药卫生—骨科学]