【摘要】 目的探讨切开复位内固定治疗Lisfranc骨折脱位的临床经验。方法自2001年3月至2009年3月,我科对37例Lisfranc骨折脱位患者切开复位皮质骨螺钉配合克氏针内固定治疗。其中男25例,女12例,年龄17～61岁;新鲜损伤33例,陈旧损伤4例。结果 37例获得随访,随访时间24～49个月,平均28个月。采用美国矫形足踝协会的评分标准进行评价,好24例,较好11例,差2例。结论对于Lisfranc骨折脱位应手术治疗,解剖复位和坚强内固定是获得良好疗效的必要条件,陈旧性损伤应行关节融合术。更多还原

【Abstract】 Objective To discuss the clinical experience of open reduction and internal fixation for the treatment of Lisfranc fracture and dislocation.Methods Between March 2001 and March 2009,37 cases of Lisfranc fracture and dislocation underwent open reduction and internal fixation.Results All patients were followed up from 24 to 49 months with an average of 28 months.The recovery was assessed after operation by American Orthopaedic Foot & Ankle Society(AOFAS) score,with 24 cases good,11cases better and 2 cases bad.Conclusion Lisfranc fracture and dislocation should be treated.With operation,with anatomical reduction and rigid internal fixation are necessary for good recovery.The old injury should be treated with arthrodesis.更多还原