| Lisfranc关节损伤手术治疗的疗效评估 |
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Received:October 25, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张峰 |
ZHANG Feng |
宁波市第六医院足踝外科，宁波 浙江 315040 |
Department of Foot and Ankle Surgery,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
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| 黄雷 |
HUANG Lei |
宁波市第六医院足踝外科，宁波 浙江 315040 |
Department of Foot and Ankle Surgery,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
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| 叶鹏翰 |
YE Peng-han |
宁波市第六医院足踝外科，宁波 浙江 315040 |
Department of Foot and Ankle Surgery,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
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| 何贤峰 |
HE Xian-feng |
宁波市第六医院足踝外科，宁波 浙江 315040 |
Department of Foot and Ankle Surgery,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
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| 阮永平 |
RUAN Yong-ping |
宁波市第六医院足踝外科，宁波 浙江 315040 |
Department of Foot and Ankle Surgery,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
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| 朱彦昭 |
ZHU Yan-zhao |
宁波市第六医院足踝外科，宁波 浙江 315040 |
Department of Foot and Ankle Surgery,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
allyssess@163.com |
| 徐荣明 |
XU Rong-ming |
宁波市第六医院足踝外科，宁波 浙江 315040 |
Department of Foot and Ankle Surgery,the 6th Hospital of Ningbo,Ningbo 315040,Zhejiang,China |
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| 期刊信息：《中国骨伤》2011年24卷，第2期，第167-169页 |
| DOI：10.3969/j.issn.1003-0034.2011.02.021 |
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目的：探讨手术治疗Lisfranc关节损伤的临床疗效。
方法：自2003年1月至2009年9月，手术治疗Lisfranc关节损伤57例，男41例，女16例；年龄20～64岁，平均33.8岁。按照Myerson分类：中柱损伤31例，中柱合并内侧柱损伤15例，三柱损伤11例。受伤当日手术25例，受伤后3～11 d(平均7 d)手术32例。
结果：切口均一期愈合，平均手术时间50 min;所有患者获随访，时间4～70个月，平均35个月。患者平均AOFAS评分为(84.73±14.26)分，患者术后5.1个月(3～12个月)恢复正常生活。52例解剖复位患者平均AOFAS评分(87.63±13.71),5例未解剖复位者平均AOFAS评分(74.31±21.96).多柱损伤患者26例平均AOFAS评分(76.58±11.51).有8例患者并发创伤性骨关节炎，是患者中最主要的并发症。
结论：手术治疗Lisfranc关节损伤能够重建跖跗关节复合体的稳定性，可取得满意的复位和临床疗效。术中复位质量与治疗结果密切相关。 |
| [关键词]:跖骨 跗关节 损伤 外科手术 |
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| Evaluation of the surgical treatment of Lisfranc injuries |
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Abstract:
Objective: To study the clinical results of surgical treatment for Lisfranc fracture-dislocation.
Methods: From January 2003 to Septemper 2009,57 patients with Lisfranc injuries were treated by surgical operation included 41 males and 16 females with an average age of 33.8 years old ranging from 20 to 64 years. According to Myerson's classification,there were 31 cases of middle column injuries,15 cases of medial-middle column injuries and 11 cases of three-column injuries. Among them,25 patients accepted the emergency operation (<24 hours) and 32 patients were treated in average 7 days (3 to 11 days) after injury.
Results: All the wounds were healed primarily with a mean operative time of 50 min(30 to 70 min). All patients were followed up for 4 to 70 months(averaged 35 months). The total AOFAS scores(American Orthopaedic Foot and Ankle Society) was in averaged of(84.73±14.26). All the patients returned to normal daily life after a mean time of 5.1 months (3 to 12 months). The average AOFAS scores of 52 anatomical reduction cases was(87.63±13.71),5 non-anatomical reduction cases was(74.31±21.96),26 multiple column trauma cases was (76.58±11.51). Complications of osteoarthritis occurred in 8 cases,confirming it was the main complication of these injuries.
Conclusion: Lisfranc injuries can be surgically treated well. Reduction of the middle column is the key to reestablishment the stability of the tarsometatarsal joint complex. The quality of the reduction correlated with treatment outcome. |
| KEYWORDS:Metatarsal bones Tarsal joints Injuries 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: | 张峰,黄雷,叶鹏翰,何贤峰,阮永平,朱彦昭,徐荣明.Lisfranc关节损伤手术治疗的疗效评估[J].中国骨伤,2011,24(2):167~169 |
| 英文格式: | ZHANG Feng,HUANG Lei,YE Peng-han,HE Xian-feng,RUAN Yong-ping,ZHU Yan-zhao,XU Rong-ming.Evaluation of the surgical treatment of Lisfranc injuries[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(2):167~169 |
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