Kinner B, Neumeier M, Roll C, Ganslmeier A
Abteilung für Unfallchirurgie, Klinikum der Universität, Franz-Josef-Strauss-Allee 11, 93042 Regensburg.
Unfallchirurg. 2008 Mar;111(3):206-10. doi: 10.1007/s00113-007-1312-9.
We report a 30-year-old patient suffering a plantar dislocation fracture after he dropped a heavy weight on his foot. The patient was treated immediately after diagnosis was secured by CT scan. Median approach and dermatofasciotomy of the foot were followed by anatomic reduction of the fractures and the Lisfranc dislocation and fixed by internal osteosynthesis. After 3 months the patient was able to ambulate pain free without walking aids. Plantar dislocation is a very rare direction of comminuted Lisfranc dislocation fractures. The outcome may be favorable with early reduction and stable internal fixation of the fractures. One always has to be aware of the major soft tissue trauma associated with complex Lisfranc dislocation fractures.
我们报告了一名30岁的患者，他在重物砸到脚上后发生了跖侧脱位骨折。经CT扫描确诊后，该患者立即接受了治疗。采用足部正中入路和皮瓣筋膜切开术，然后对骨折和Lisfranc脱位进行解剖复位，并通过内固定术进行固定。3个月后，患者能够在无疼痛的情况下行走，无需辅助器具。跖侧脱位是粉碎性Lisfranc脱位骨折中非常罕见的方向。早期复位和骨折的稳定内固定可能会带来良好的预后。必须始终意识到与复杂Lisfranc脱位骨折相关的严重软组织创伤。
