Morris K L, Giacopelli J A, Granoff D P
Department of Podiatric Surgery, Fountain Valley Regional Hospital and Medical Center, California.
J Foot Surg. 1991 Sep-Oct;30(5):513-23.
The authors present a descriptive report on medial column instability with Lisfranc's fracture dislocation injuries. Subtleties of recognizing and diagnosing this injury are emphasized within a literature review. Eleven cases of tarsometatarsal injuries were reviewed over an 18-month period. Eight cases involved acute injuries, while three cases presented as delayed or misdiagnosed injuries. Due to the instability of the medial column, failure in reduction methods for this injury consistently occurred. With proper sequential placement of Kirschner wires, reduction failure is minimized. A fixation method for medial column Lisfranc's injuries with Kirschner wire placement is described.
作者们给出了一篇关于伴有Lisfranc骨折脱位损伤的内侧柱不稳定的描述性报告。在文献综述中强调了识别和诊断这种损伤的细微之处。在18个月的时间里对11例跗跖关节损伤进行了回顾。8例为急性损伤，3例为延迟或误诊损伤。由于内侧柱的不稳定，这种损伤的复位方法一直失败。通过克氏针的正确顺序放置，可将复位失败降至最低。描述了一种用克氏针放置治疗内侧柱Lisfranc损伤的固定方法。
