CAJ | 학술논문

目的：探讨空心变距无头拉力螺钉（Acutrak 螺钉）与空心螺钉切开复位内固定治疗 Lisfranc 关节损伤的临床治疗效果。方法回顾性分析2009年5月至2014年4月收治的41例 Lisfranc 关节损伤患者，41例患者术后均获随访，随访1~29（16±3.21）个月，根据内固定不同分为 Acutrak 螺钉组（n =22），空心螺钉组（n =19），分析两组患者术后疼痛情况、患足功能及并发症并进行美国足踝外科协会评分（American orthopaedic foot and ankle society，AOFAS）及视觉模拟评分法（visual analogue scale，VAS）评分。结果术后1个月、3个月 Acutrak 组 VAS 评分明显高于空心螺钉组（P ＜0.05），术后3月 Acutrak 组 AOFAS 评分明显高于空心螺钉组（P ＜0.05），Acutrak 组术后随访中并发症少于空心螺钉组差异有统计学意义（P ＞0.05）。结论应用 Acutrak 螺钉相比于空心螺钉切开复位内固定治疗 Lisfranc 关节损伤，术后有着足部功能的恢复较快、疼痛较轻，并发症相对较少的优势。
목적：탐토공심변거무두랍력라정（Acutrak 라정）여공심라정절개복위내고정치료 Lisfranc 관절손상적림상치료효과。방법회고성분석2009년5월지2014년4월수치적41례 Lisfranc 관절손상환자，41례환자술후균획수방，수방1~29（16±3.21）개월，근거내고정불동분위 Acutrak 라정조（n =22），공심라정조（n =19），분석량조환자술후동통정황、환족공능급병발증병진행미국족과외과협회평분（American orthopaedic foot and ankle society，AOFAS）급시각모의평분법（visual analogue scale，VAS）평분。결과술후1개월、3개월 Acutrak 조 VAS 평분명현고우공심라정조（P ＜0.05），술후3월 Acutrak 조 AOFAS 평분명현고우공심라정조（P ＜0.05），Acutrak 조술후수방중병발증소우공심라정조차이유통계학의의（P ＞0.05）。결론응용 Acutrak 라정상비우공심라정절개복위내고정치료 Lisfranc 관절손상，술후유착족부공능적회복교쾌、동통교경，병발증상대교소적우세。
Objective To compare the clinical effect of Acutrak screw and cannulated screw in surgical treatment of Lis-franc injury. Methods We retrospectively analyzed 41 patients with Lisfranc injury from May 2009 to April 2014,who re-ceived internal fixation with Acutrak screw(n = 22)and hollow screw(n = 19). They all were contrasted through postopera-tive complications,the ankle surgery association score(AOFAS)and visual analogue scale(VAS). Results The 41 cases were followed up,with a mean period of 16 ± 3. 21(from 1 to 29)months. The AOFAS score of Acutrak group at 1st and 6th month increased significantly than that of hollow screw group(P < 0. 05). The VAS score of Acutrak group at 1st and 6th month increased significantly than that of hollow screw group(P < 0. 05). Postoperative complications of Acutrak group was less than that of hollow screw group and the difference was significant(P > 0. 05). Conclusion In treatment of Lisfranc inju-ry,Acutrak screw is superior to conventional hollow screw in terms of better recovery of postoperative feet function,less postop-erative pain,and less incidence of complications.