中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2012年
4期
414-417
,共4页
跖跗关节%损伤%诊断%内固定术
蹠跗關節%損傷%診斷%內固定術
척부관절%손상%진단%내고정술
Lisfranc%Injury%Diagnosis%Internal fixation
目的 探讨Lisfranc损伤的早期诊断要点、手术治疗原则及效果.方法 分析2004年4月至2011年2月收治的23例(男17例,女6例；年龄19.0～57.0岁)Lisfranc损伤的病例资料及随访结果.所有患者均采取切开复位内固定治疗,克氏针固定13例,螺钉固定10例.按照Maryland足部评分标准进行疗效评定.结果 术后21例得到随访,随访时间6.0～46.0个月,平均(28.5±2.6)个月.所有患者在末次随访时无内固定断裂、复位丢失等并发症,评分为56～97分,平均(86±8)分.其中优6例,良10例,可3例,优良率76.2％.结论 对Lisfranc损伤的诊断要紧扣其早期症状和体征,结合放射学检查可以确诊.对Lisfranc损伤应采用切开复位克氏针或螺钉内固定,两种方法均可取得良好效果.
目的 探討Lisfranc損傷的早期診斷要點、手術治療原則及效果.方法 分析2004年4月至2011年2月收治的23例(男17例,女6例；年齡19.0～57.0歲)Lisfranc損傷的病例資料及隨訪結果.所有患者均採取切開複位內固定治療,剋氏針固定13例,螺釘固定10例.按照Maryland足部評分標準進行療效評定.結果 術後21例得到隨訪,隨訪時間6.0～46.0箇月,平均(28.5±2.6)箇月.所有患者在末次隨訪時無內固定斷裂、複位丟失等併髮癥,評分為56～97分,平均(86±8)分.其中優6例,良10例,可3例,優良率76.2％.結論 對Lisfranc損傷的診斷要緊釦其早期癥狀和體徵,結閤放射學檢查可以確診.對Lisfranc損傷應採用切開複位剋氏針或螺釘內固定,兩種方法均可取得良好效果.
목적 탐토Lisfranc손상적조기진단요점、수술치료원칙급효과.방법 분석2004년4월지2011년2월수치적23례(남17례,녀6례；년령19.0～57.0세)Lisfranc손상적병례자료급수방결과.소유환자균채취절개복위내고정치료,극씨침고정13례,라정고정10례.안조Maryland족부평분표준진행료효평정.결과 술후21례득도수방,수방시간6.0～46.0개월,평균(28.5±2.6)개월.소유환자재말차수방시무내고정단렬、복위주실등병발증,평분위56～97분,평균(86±8)분.기중우6례,량10례,가3례,우량솔76.2％.결론 대Lisfranc손상적진단요긴구기조기증상화체정,결합방사학검사가이학진.대Lisfranc손상응채용절개복위극씨침혹라정내고정,량충방법균가취득량호효과.
Objective To explore the main points of early diagnosis,the principles and the efficacy of surgical treatment of Lisfranc injury.Methods The clinical data and follow-up results of 23 cases of patients with Lisfranc injury treated from April 2004 to February 2011 (17 males,6 females,aged from 19 to 57 years old) were collected and analyzed.All patients underwent open reduction and internal fixation,among them,13cases with Kirschner wire fixation and 10 cases with screws fixation.Efficacy was evaluated in accordance with Maryland foot score.Results Twenty-one patients were followed up for 6 - 46 months with an average of (28.5 ± 2.6) months.In the last follow-up no patients has internal fixation fracture,loss of reduction and other complications.The score was 56 - 97 points with an average score of ( 86 ± 8 ) points.The results showed excellent in 6 cases,good in 10 cases and fair in 3 cases,good rate was 76.2％.Conclusion Lisfranc injury can be diagnosed by early signs and symptoms,and can be confirmed by combining with radiographic examination.Lisfranc injury should be treated with open reduction and internal fixation with Kirschner wire or screw,both of the two fixation methods can achieve good results.
