Tightrope联合侧方钢板固定足Lisfranc损伤  

Tightrope combined with lateral plate fixation for Lisfranc injury

作　　者：邱雄 肖凯 黄若昆 谢鸣 QIU Xiong;XIAO Kai;HUANG Ruo-kun;XIE Ming(Department of Orthopedics,The Fourth Hospital of Wuhan City,Wuhan,Hubei 430000,China)

机构地区：[1]武汉市第四医院骨科,湖北武汉430000

出　　处：《中国矫形外科杂志》2025年第4期373-376,共4页Orthopedic Journal of China

摘　　要：[目的]探讨Tight rope联合侧方钢板固定Lisfranc损伤临床疗效。[方法]回顾性分析2020年1月—2023年10月采用上述方法手术治疗Lisfranc损伤30例患者的临床资料。评价临床及影像资料。[结果]患者均顺利完成手术,术中无血管、神经损伤等严重并发症,手术时间平均(40.2±10.7)min,术中出血量平均(30.3±5.0)m L。患者均获随访,随访时间平均(12.8±2.0)个月。与术前相比,术后3个月及末次随访时,患者VAS评分[(5.6±1.2),(3.0±0.8),(1.9±1.1),P<0.001]、AOFAS评分[(39.8±3.6),(60.3±6.0),(86.0±4.3),P<0.001]均显著改善。影像方面,与术前相比,术后3个月和末次随访正位第2跖骨基底侧移位[是/否,(30/0),(0/30),(0/30),P<0.001]、侧位背侧台阶征[是/否,(18/12),(0/30),(0/30),P<0.001]均显著纠正,患者第1和第2跖骨基底间距离[(5.7±1.3)mm,(1.9±0.3)mm,(1.6±0.2)mm,P<0.001]显著减小。[结论]采用Tight rope联合侧方固定治疗足Lisfranc损伤短期内可取得满意疗效,是一种安全可靠的手术方式。[Objective]To evaluate the clinical consequence of Tightrope combined with lateral plate fixation for Lisfranc injury.[Methods]A retrospective analysis was performed on 30 patients who had Lisfranc injury treated by the above methods from January 2020to October 2023.Clinical and imaging data were evaluated.[Results]All the patients were successfully operated on without any seriouscomplications such as vascular and nerve injury,while with the average operation time of(40.2±10.7)min,and average blood loss of(30.3±5.0)mL.All the patients were followed up for an average of(12.8±2.0)months.With time preoperatively,3 months after surgery and the lastfollow-up,the VAS score[(5.6±1.2),(3.0±0.8),(1.9±1.1),P<0.001],AOFAS score[(39.8±3.6),(60.3±6.0),(86.0±4.3),P<0.001]were significantly improved.As for imaging,lateral shifting of the second metatarsal base[Y/N(30/0),(0/30),(0/30),P<0.001],dorsal steps[Y/N,(18/12),(0/30),(0/30),P<0.001]were significantly corrected over the time period abovementioned.However,the distance between the bases of the first and second metatarsals[(5.7±1.3)mm,(1.9±0.3)mm,(1.6±0.2)mm,P<0.001]was significantly reduced.[Conclusion]Thetight rope combined with lateral plate fixation does achieve satisfactory clinical consequence in the short term for Lisfranc injury,and is asafe and reliable surgical technique.

关 键 词：LISFRANC损伤 侧方钢板 TIGHTROPE 悬吊固定 

分 类 号：R683.42[医药卫生—骨科学]