| 克氏针三柱重建法治疗Lisfranc骨折脱位 |
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Received:May 14, 2008
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| 期刊信息：《中国骨伤》2008年21卷，第7期，第539-540页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的： 探讨多根克氏针内固定治疗Lisfranc骨折脱位的临床应用效果。
方法：49例患者中，男37例，女12例；年龄20～58岁。损伤根据Myserson分型：A型12例；B1型3例，B2型28例；C1型4例，C2 型2例。根据中足的结构特点设计多根克氏针进行三柱重建内固定，三柱的重建不仅需要每个独立柱的解剖复位和固定，且需要各柱相互形成一个联体。
结果：49例均获随访，按美国骨科足踝外科协会(AOFAS)中足部分的评定标准，优(90～100分)14例，良(80～89分)22例，一般(70～79分)8例，差(60～69分)5例，平均(84.200±9.663)分。
结论：Lisfrac骨折脱位的诊断和治疗应依从于三柱重建理论，使中足构成坚固的弓形结构，达到生物力学上的静态平衡，为骨折和软组织愈合提供环境。多根克氏针进行三柱重建内固定是治疗Lisfrac骨折脱位的有效方法。 |
| [关键词]:跖跗关节 骨折 脱位 骨折固定术 |
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| Surgical treatment of Lisfranc fracture-dislocations by reconstruction of three-column with Kirschner wire fixation |
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Abstract:
Objective: To explore the effect of reduction and fixation with multi-Kirschner wires for treatment of Lisfranc fracture-dislocations.
Methods: There were 49 patients(37 male and 12 female aged from 20 to 28 years old) involved in the study. According to the Myserson damage typing,type A in 12 cases,B1 in 3,B2 in 28,C1 in 4 and C2 in 2. Kirschner wires were applied to fix and reconstruct the three-column in three directions according to the structural characteristic of midfoot. Reconstruction of three-column needed not only to reduce and to fix every single column,but also to establish union of the columns.
Results: According to the evaluation of AOFAS for midfoot,14 cases were excellent (90 to100),22 cases good(80 to 89),8 cases fair (70 to 79) and 5 cases poor (60 to 69),with an average score of 84.200±9.663.
Conclusion: The diagnosis and treatment of Lisfranc fracture-dislocations should comply with the theory of three-column reconstruction of foot arch,which can achieve the static balance of biomechanics and provide a stable environment for healing of fracture and soft tissue. Reduction and fixation with multi-Kirschner wires is an effective treatment method for Lisfranc fracture-dislocations. |
| KEYWORDS:Tarsometatarsal joints Fractures Dislocations Fracture fixation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 周勇忠,吴献民,张友忠.克氏针三柱重建法治疗Lisfranc骨折脱位[J].中国骨伤,2008,21(7):539~540 |
| 英文格式: | ZHOU Yong-zhong,WU Xian-min,ZHANG You-zhong.Surgical treatment of Lisfranc fracture-dislocations by reconstruction of three-column with Kirschner wire fixation[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(7):539~540 |
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