Panagakos Panagiotis, Patel Krupa, Gonzalez Crystal N
Foot and Ankle Care Associates, LLC, Hahnemann University Hospital, Overlook Hospital, Staten Island, NY 10305, USA.
Clin Podiatr Med Surg. 2012 Jan;29(1):51-66. doi: 10.1016/j.cpm.2011.09.005.
Lisfranc fracture-dislocations are complex injuries that require a high skill set from foot and ankle surgeons to diagnose and treat. Conservative treatment is seldom an option for treatment of Lisfranc injuries. The authors believe that even subtle injuries require surgical intervention. The comparison between open reduction internal fixation, partial arthrodesis, and complete arthrodesis is discussed, as well as various fixation techniques to accomplish these procedures when approaching a Lisfranc injury.
跖跗关节骨折脱位是复杂的损伤，需要足踝外科医生具备高超的技能来进行诊断和治疗。保守治疗很少是跖跗关节损伤的治疗选择。作者认为，即使是细微的损伤也需要手术干预。文中讨论了切开复位内固定、部分关节融合和完全关节融合之间的比较，以及在处理跖跗关节损伤时完成这些手术的各种固定技术。
