Trillat A, Lerat J L, Leclerc P, Schuster P
Rev Chir Orthop Reparatrice Appar Mot. 1976 Oct-Nov;62(7):685-702.
The authors have treated eighty-one cases of fracture-dislocation of the tarso-metarsal joint and have studied 232 cases reported in the literature. They suggest a modification of previous classifications. In their conclusions, they consider that purely conservative treatment is inadequate. Reduction, when obtained by closed methods, should be maintained by Kirschner wires. Open reduction should be done when closed methods do not produce a perfec reduction. When several articular fractures are present, they advocate immediate reduction and arthrodesis. The results obtained after secondary arthrodesis were not as good as those obtained after primary arthrodesis.
作者们治疗了81例跗跖关节骨折脱位病例，并研究了文献中报道的232例病例。他们建议对先前的分类方法进行修改。在结论中，他们认为单纯的保守治疗是不够的。通过闭合方法复位后，应用克氏针固定。闭合方法不能实现完美复位时，应进行切开复位。存在多处关节骨折时，他们主张立即复位和关节融合术。二期关节融合术后的效果不如一期关节融合术后的效果好。
