| 跖跗关节损伤的手术治疗 |
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Received:October 25, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 宋涛 |
SONG Tao |
陕西省西安市红十字会医院，陕西 西安 710054 |
Xi'an Red-cross Hospital, Xi'an 710000, Shaanxi, China |
sxhz938@163.com |
| 潘文杰 |
PAN Wen-jie |
陕西省西安市红十字会医院，陕西 西安 710054 |
Xi'an Red-cross Hospital, Xi'an 710000, Shaanxi, China |
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| 梁晓军 |
LIANG Xiao-jun |
陕西省西安市红十字会医院，陕西 西安 710054 |
Xi'an Red-cross Hospital, Xi'an 710000, Shaanxi, China |
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| 王军伟 |
WAN Jun-wei |
陕西省西安市红十字会医院，陕西 西安 710054 |
Xi'an Red-cross Hospital, Xi'an 710000, Shaanxi, China |
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| 李毅 |
LI Yi |
陕西省西安市红十字会医院，陕西 西安 710054 |
Xi'an Red-cross Hospital, Xi'an 710000, Shaanxi, China |
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| 马强 |
MA Qiang |
陕西省西安市红十字会医院，陕西 西安 710054 |
Xi'an Red-cross Hospital, Xi'an 710000, Shaanxi, China |
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| 鹿军 |
LU Jun |
陕西省西安市红十字会医院，陕西 西安 710054 |
Xi'an Red-cross Hospital, Xi'an 710000, Shaanxi, China |
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| 王军虎 |
WANG Jun-hu |
陕西省西安市红十字会医院，陕西 西安 710054 |
Xi'an Red-cross Hospital, Xi'an 710000, Shaanxi, China |
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| 田锋 |
TIAN Feng |
陕西省西安市红十字会医院，陕西 西安 710054 |
Xi'an Red-cross Hospital, Xi'an 710000, Shaanxi, China |
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| 期刊信息：《中国骨伤》2010年23卷，第11期，第835-837页 |
| DOI：10.3969/j.issn.1003-0034.2010.11.012 |
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目的：总结跖跗关节损伤切开复位内固定的临床经验，评价手术治疗效果。
方法：自2009年3月至7月，9例跖跗关节损伤的患者接受切开复位内固定术，其中男7例，女2例；年龄20～47岁，平均33.5 岁。损伤按Quenu-Kuss分型：A型5例，B型3例，C型1例。采用1～2个足背纵行直切口，克氏针和空心螺钉内固定。依据美国矫形足踝协会(AOFAS)足评分标准对患足的功能进行评定。
结果：9例患者均获得随访，时间5～12个月，平均8个月。术后感染1例，1例发生创伤后关节炎，无克氏针松动。AOFAS总评分由术前的(15.5±4.2)分提高到术后的(92.0±5.2)分(t=-45.95,P<0.01);9例患者中，好7例，较好1例，差1例。
结论：切开复位治疗跖跗关节损伤可取得满意效果。 |
| [关键词]:跖骨 跗关节 足损伤 骨折 脱位 外科手术 |
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| Surgical treatment of tarsometatarsal joints injury |
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Abstract:
Objective: To summmarize the clincal experience of open reduction and internal fixation for the treatment of tarsometatarsal joint injury ane evaluate the effects of operative treatment to tarsometatarsal joint injury.
Methods: From March to July in 2009,9 patients with tarsometatarsal joint injury were treated by open reduction and internal fixation included 7 males and 2 females with an average age of 33.5 years old ranging from 20 to 47 years. According to Quenu-Kuss classification,there were 5 cases of type A,3 of type B,1 of type C. All patients were treated by cannulated screws and Kirschner wires through 1 to 2 microtubule straight incision on dorsum of foot. The foot function were assessed by American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score.
Results: All patients were followed up for 5 to 12 months with an average of 8 months. Complications concluded 1 case with infection,1 case with post-traumatic arthritis. The failure of Kirschner wires was not discovered in 9 cases. According to AOFAS system,the total scores increased from preoperative (15.5±4.2) to postoperative (92.0±5.2) (t=-45.95,P<0.01). The results were excellent in 7 cases,good in 1,and poor in 1.
Conclusion: Open reduction and internal fixation for the reatment of tarsometatarsal joint injury should have satisfying results. |
| KEYWORDS:Metatarsal bones Tarsal joints Foot injuries Fractures Dislocations Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 宋涛,潘文杰,梁晓军,王军伟,李毅,马强,鹿军,王军虎,田锋.跖跗关节损伤的手术治疗[J].中国骨伤,2010,23(11):835~837 |
| 英文格式: | SONG Tao,PAN Wen-jie,LIANG Xiao-jun,WAN Jun-wei,LI Yi,MA Qiang,LU Jun,WANG Jun-hu,TIAN Feng.Surgical treatment of tarsometatarsal joints injury[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(11):835~837 |
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