Clinical study on the surgical treatment of atypical Lisfranc joint complex injury  

作　　者：Xu Li Le-Sheng Jia Ang Li Xin Xie Jun Cui Guo-Liang Li 

机构地区：[1]Department of Foot and Ankle Surgery,Central Hospital Affiliated to Shenyang Medical College,Shenyang 110024,Liaoning Province,China [2]Department of Functional Experiment Center,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning Province,China

出　　处：《World Journal of Clinical Cases》2020年第19期4388-4399,共12页世界临床病例杂志

基　　金：Science Foundation of Shenyang Medical College,No.20187076.

摘　　要：BACKGROUND Lisfranc injuries have not received much attention by orthopedic doctors in the past,and there is little related research on the diagnosis and treatment of these injuries.In recent years with the rise in foot and ankle surgery,doctors are now paying more attention to this type of injury.However,there is still a high rate of missed diagnosis due to insufficient attention causing treatment delays or inadequate treatments,which eventually result in greater sequelae;including long-term pain,arthritis,foot deformity etc.In particular,for cases with a mild Lisfranc joint complex injury,the incidence of sequelae is higher.AIM To select an active surgical treatment for an atypical Lisfranc joint complex injury and to evaluate the clinical efficacy of the surgical treatment.METHODS The clinical data of 18 patients,including 10 males and 8 females aged 20-64 years with Lisfranc injuries treated in our department from January 2017 to September 2019 were retrospectively analyzed.All patients were treated with an open reduction and internal fixation method using locking titanium mini-plates and hollow screws or Kirschner wires.X-ray images were taken and follow-up was performed monthly after the operation;the internal fixation was then removed 4-5 mo after the operation;and the American Orthopedic Foot and Ankle Society(AOFAS)score was used for evaluation on the last follow-up.RESULTS All patients were followed up for 6-12 mo.A good/excellent AOFAS score was observed in 88.9%of patients.CONCLUSION For atypical Lisfranc joint complex injuries,active open reduction and internal fixation can be performed to enable patients to obtain a good prognosis and satisfactory functional recovery.

关 键 词：Lisfranc joint complex injury Avulsion fracture Open reduction and internal fixation Atypical Lisfranc injury Stress test Computed tomography 

分 类 号：R687.4[医药卫生—骨科学]