切开复位内固定治疗Lisfranc损伤的临床应用

目的总结运用切开复位内固定治疗Lisfranc损伤的临床疗效。方法回顾性分析31例Lisfranc损伤患者的临床资料,所有患者都在3周内行切开复位,空心螺钉、钢板或克氏针内固定治疗。结果所有患者均获12～47个月(平均29.68个月)随访,20例获得解剖复位,11例未能获得解剖复位;按美国足踝外科协会评分(AOFAS),解剖复位组(86.60±6.10)和非解剖复位组(80.36±6.27)间差异有统计学意义(P=0.011)。结论切开复位内固定治疗Lisfranc损伤可以获得满意疗效,内固定可以通过螺钉或钢板获得,解剖复位是术后获得良好功能的保证。

Open reduction and internal fixation for lisfranc injury:Clinical experience and literature review

Objective To investigate the therapeutic effect of open reduction and internal fixation(ORIF) for Lisfranc injury.Methods From June 2005 to February 2011,31 Patients of Lisfranc injury were treated with open reduction and internal fixation.According to Myerson’clissification,2 cases in Type A,11cases in Type B1,10 cases in Type B2,5 cases in Type C1,3 cases in Type C2.All patients were treated with open reduction and screw or plate fixation in 3weeks.Results All the patients were followed up from 12 to 47 months,with the mean of 29.68months;Anatomic reduction of the Lisfranc joints were achieved in 20 cases,others were not achieved.According to the Clinical Rating System of American Orthopaedic Foot and Ankle Society,there were significant difference(P=0.011) in Anatomic reduction Group(86.60±6.10) and Nonanatomic reduction Group(80.36±6.27).Conclusion The therapeutic effect of ORIF for Lisfranc injury is superiority.Internal fixation is achieved with screw or plate.Anatomic reduction of the Lisfranc joints can guarantee a good function.