Lisanti M, Rosati M, Nesti C, Cantini G, Rosetti C
2a Clinica Ortopedica dell'Università di Pisa.
Chir Organi Mov. 2001 Oct-Dec;86(4):281-91.
The authors report their experience in the treatment of traumatic injuries of Lisfranc's joint based on 30 cases treated by surgery between 1984 and 1999. All of the patients were re-evaluated clinically and radiographically. What emerges from the study is the need for surgical stabilization with percutaneous Kirschner wires or by open procedure in cases where there are doubts or where reduction is impossible. The prognosis is worse in injuries of the medial column and in exposed fractures or when mortification of the soft tissues is present.
作者报告了他们在1984年至1999年间对30例接受手术治疗的Lisfranc关节创伤性损伤的治疗经验。所有患者均进行了临床和影像学复查。该研究表明,在存在疑问或无法复位的情况下,需要采用经皮克氏针或开放手术进行手术固定。内侧柱损伤、开放性骨折或存在软组织坏疽时,预后较差。