中国医学创新Issue(24)：34-37,4.DOI:10.3969/j.issn.1674-4985.2014.24.011
Lisfranc损伤术后创伤性关节炎的临床研究
Clinical Research on Postoperative Lisfranc Injury Traumatic Arthritis
摘要
Abstract
Objective:Clinical research on Lisfranc injury traumatic arthritis postoperative.Method:19 cases of Lisfranc injury traumatic arthritis postoperative were selected,15 men and 4 women,aged 21 to 58(average,41) years. The patients all were received Lisfranc fractures underwent open/closed reduction and internal fixation(used screw and wire). Fractures were classified as homolateral(n=7),isolated(n=7),and divergent(n=5). 6 patients had open fractures;8 patients injured 5 tarsometatarsal joints;and 6 patients had pure ligamentous injury. Outcome was assessed using the Maryland foot score(MFS)and the American Orthopedic Foot and Ankle Society(AOFAS)score. Weight-bearing radiographs were evaluated for non-union,subluxation,malalignment,and post-traumatic arthritis. Result:Patients were followed up for 24 to 40((average,30)months. Patients with anatomic reduction achieved higher mean AOFAS foot score(79.3±4.85 vs 67.5±5.13,P=0.0007)and Maryland foot score(80.4±4.11 vs 69.4±6.07, P=0.0009)than did patients with non-anatomic reduction. Post-traumatic arthritis occurred significantly more often in patients with non-anatomic than anatomic reduction(3/5 vs 1/14,P=0.037). 4 patients developed post-traumatic arthritis,one of whom also developed lateral subluxation after implant removal,2 patients developed flat foot. 2 patients had severe symptoms that limited function,one of whom underwent an arthrodesis. 2 patients with compound fractures developed superficial infections. 3 patients had broken screws.Conclusion:Lisfranc injury patients treated with anatomical repositioning,curative effect is good,seldom develop arthritis.关键词
创伤性关节炎/Lisfranc损伤/内固定术Key words
Post-traumatic arthritis/Lisfranc injury/Open reduction引用本文复制引用
郭洪亮,韩亚军,伊力哈木·托合提..Lisfranc损伤术后创伤性关节炎的临床研究[J].中国医学创新,2014,(24):34-37,4.基金项目
新疆维吾尔自治区科学技术支疆项目计划（指令性）项目 （）
