Swords Michael P, Schramski Matthew, Switzer Kyle, Nemec Scott
Section of Orthopedics, Sparrow Health System, Mid Michigan Orthopedic Institute, Michigan State University College of Osteopathic Medicine, 830 W. Lake Lansing Suite 190, East Lansing, MI 48823, USA.
Foot Ankle Clin. 2008 Dec;13(4):679-93, viii. doi: 10.1016/j.fcl.2008.08.004.
Fractures and dislocations of the midfoot and Chopart complex are among the most difficult foot injuries to manage. The treating surgeon is faced with a wide array of treatment challenges. Plain radiographs often grossly underestimate the extent of injury. The anatomy in this region of the foot is quite intricate with numerous articulations. Fractures can occur in isolation or as part of a more complex injury pattern. Misdiagnosis and under treatment can lead to severe alterations of both normal anatomy and function. This article discusses the rationales and techniques for treating these difficult injuries.
中足和Chopart复合体的骨折与脱位是最难处理的足部损伤之一。主治外科医生面临着诸多治疗挑战。普通X光片常常严重低估损伤程度。足部该区域的解剖结构相当复杂，有众多关节。骨折可能单独发生，也可能是更复杂损伤模式的一部分。误诊和治疗不足会导致正常解剖结构和功能的严重改变。本文讨论了治疗这些疑难损伤的基本原理和技术。
