| 手术治疗Lisfranc关节损伤13例的疗效分析 |
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投稿时间：2012-05-18
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| 作者 | Author | 单位 | Address | E-Mail |
| 许桦 |
XU Hua |
杭州市萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
xxuoo365@yahoo.com.cn |
| 毕大卫 |
BI Da-wei |
杭州市萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 马海涛 |
MA Hai-tao |
杭州市萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 王辉 |
WANG Hui |
杭州市萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 陈亿民 |
CHEN Yi-min |
杭州市萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 杨育生 |
YANG Yu-sheng |
杭州市萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 祖罡 |
ZU Gan |
杭州市萧山区第一人民医院骨二科, 浙江 杭州 311201 |
The Second Department of Orthopaedics, the First People's Hospital of Xiaoshan, Hangzhou 311201, Zhejiang, China |
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| 期刊信息：《中国骨伤》2013年，第26卷，第4期，第344-346页 |
| DOI：10.3969/j.issn.1003-0034.2013.04.020 |
| 基金项目: |
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中文摘要:
目的: 探讨手术治疗Lisfranc关节损伤的临床疗效及影响因素。
方法: 自2009年1月至2011年11月, 共收治Lisfranc关节损伤13例14足, 男9例, 女4例;年龄18～61岁, 平均42岁。Myerson分型:A型1足, B型9足, C型4足。所有患者在伤后22 d内接受手术, 手术采用切开复位螺钉或克氏针内固定(1例开放性采用外固定架固定).术后采用美国足踝外科协会(American Orthopaedic Foot and Ankle Society,AOFAS)足评分标准进行功能评估;术前、术后摄X线正斜或侧位片, 进行影像学评估。
结果: 所有患者获得随访, 时间5～30个月, 平均20个月。术后根据AOFAS足评分, 优8足, 良4足, 中2足。X线片示12例获得解剖复位, 所有患者骨性愈合。1例出现皮肤切缘坏死, 经换药后愈合;1例开放性骨折皮肤回植后出现坏死, 行皮瓣修复后愈合。其余病例未见任何手术并发症。
结论: 切开复位内固定是治疗Lisfrancs关节损伤的有效方法, 术前软组织损伤的评估、术中骨折复位及术后复位的维持可影响临床结果。 |
| 【关键词】足 创伤和损伤 骨折固定术,内 |
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| Curative effect analysis of surgical treatment of Lisfranc joint injuries |
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ABSTRACT
Objective: To investigate the clinical results and influence factors in surgical treatment of the Lisfranc joint injury.
Methods: From Jan. 2009 to Nov. 2011,13 patients (14 feet) with Lisfranc joint injury received open reduction and screw or wire or external fixation including 9 males and 4 females with an average age of 42 years old ranging from 18 to 61 years. According to the Myerson classification,there were 1 case of type A,9 of type B and 4 of type C. All the patients received open reduction and internal (1 with external) fixation with screw or Kirschner wire within 22 days after injury. The post-operative function was estimated by mid-foot scoring scale of AOFAS. X-ray were used in radiography estimation.
Results: All the patients were followed up for 5 to 30 months (averaged 20 months). According to mid-foot scoring scale of AOFAS,there were 8 feet with excellent results,4 with good and 2 with fair results. The anatomical reduction was observed in 12 feet and all the patients obtained bony union according to the results of X-ray.
Conclusion: Open reduction and internal fixation is a good choice for the treatment of Lisfranc joint injury. A preoperative estimate,proper reduction during operation and maintainence after operation may influence the clinical results. |
| KEY WORDS Foot Wounds and injuries Fracture fixation,internal |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 许桦,毕大卫,马海涛,王辉,陈亿民,杨育生,祖罡.手术治疗Lisfranc关节损伤13例的疗效分析[J].中国骨伤,2013,26(4):344~346 |
| 英文格式: | XU Hua,BI Da-wei,MA Hai-tao,WANG Hui,CHEN Yi-min,YANG Yu-sheng,ZU Gan.Curative effect analysis of surgical treatment of Lisfranc joint injuries[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(4):344~346 |
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