中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
14期
11-12
,共2页
Lisfranc 损伤%微型钢板%克氏针
Lisfranc 損傷%微型鋼闆%剋氏針
Lisfranc 손상%미형강판%극씨침
Lisfranc injury%Miniature plate%Kirschner wire
目的：分析切开复位微型钢板结合克氏针固定治疗 Lisfranc 损伤的临床疗效。方法2010年3月至2013年3月期间收治22例 Lisfranc 损伤患者，其中男15例，女7例；年龄23~62岁，平均39.8岁；致伤原因：车祸伤8例，高处坠落伤5例，重物砸伤3例，运动伤6例；根据 Myerson 损伤分型，A 型6例，B1型7例，B2型4例， C1型3例，C2型2例。受伤距离手术时间为7~11 d，平均8.8 d，采用微型钢板结合克氏针进行治疗。结果12例患者均获得随访，随访时间为10~38个月，平均（21.3±6.25）个月。采用 AOFAS 评分标准进行评定，本研究优12足，良8足，可为2足，优良率为90.9%。结论采用微型钢板结合克氏针固定治疗 Lisfranc 损伤，固定牢靠，有利于早期活动，术后并发症少，临床治疗效果满意。
目的：分析切開複位微型鋼闆結閤剋氏針固定治療 Lisfranc 損傷的臨床療效。方法2010年3月至2013年3月期間收治22例 Lisfranc 損傷患者，其中男15例，女7例；年齡23~62歲，平均39.8歲；緻傷原因：車禍傷8例，高處墜落傷5例，重物砸傷3例，運動傷6例；根據 Myerson 損傷分型，A 型6例，B1型7例，B2型4例， C1型3例，C2型2例。受傷距離手術時間為7~11 d，平均8.8 d，採用微型鋼闆結閤剋氏針進行治療。結果12例患者均穫得隨訪，隨訪時間為10~38箇月，平均（21.3±6.25）箇月。採用 AOFAS 評分標準進行評定，本研究優12足，良8足，可為2足，優良率為90.9%。結論採用微型鋼闆結閤剋氏針固定治療 Lisfranc 損傷，固定牢靠，有利于早期活動，術後併髮癥少，臨床治療效果滿意。
목적：분석절개복위미형강판결합극씨침고정치료 Lisfranc 손상적림상료효。방법2010년3월지2013년3월기간수치22례 Lisfranc 손상환자，기중남15례，녀7례；년령23~62세，평균39.8세；치상원인：차화상8례，고처추락상5례，중물잡상3례，운동상6례；근거 Myerson 손상분형，A 형6례，B1형7례，B2형4례， C1형3례，C2형2례。수상거리수술시간위7~11 d，평균8.8 d，채용미형강판결합극씨침진행치료。결과12례환자균획득수방，수방시간위10~38개월，평균（21.3±6.25）개월。채용 AOFAS 평분표준진행평정，본연구우12족，량8족，가위2족，우량솔위90.9%。결론채용미형강판결합극씨침고정치료 Lisfranc 손상，고정뢰고，유리우조기활동，술후병발증소，림상치료효과만의。
Objective To summarize and analyze the clinical effect of miniature plate combined with the Kirschner wire on the Lisfranc injury. Methods From March 2010 to March 2013,22 patients with Lisfranc injury were treated,including 15 male cases and 7 female cases,and their age was from 23 - 62,with an average of 39. 8 years old. The injury causes including traffic accident in 8 cases,high falling in 5 cases,heavy parts in 3 cases,and sport injury in 6 cases. According to the Myerson injury parting,there were 6 cases of type A,7 cases of type B1,4 cases of type B2,3 cases of type C1 and 2 cases of type C2. The time from injury to surgery was 7 - 11 d,with an average of 8. 8 d. And all pa-tients were treated by miniature plate combined with the Kirschner wire. Results All patients were fol-lowed up,and the follow-up time was 10 - 38 months,with the average of(21. 3 ± 6. 25)months. Ac-cording to the AOFAS scoring standard,12 feet were optimal,8 feet were good,2 feet were fair,and the fine rate was 90. 9% . Conclusions The treatment of the Lisfranc injury by miniature plate combined with the Kirschner wire has strong fixation,less complications and satisfactory clinical effect,and it is also beneficial to early functional training.
