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手术治疗Lisfranc损伤的结果:34例病例回顾

Outcome of surgically treated Lisfranc injury: a review of 34 cases.

作者信息

Miswan Mohd Fairudz Mohd, Singh Vivek Ajit, Yasin Nor Faissal

机构信息

Department of Orthopaedics, University Malaya Medical Center, Kuala Lumpur, Malaysia.

出版信息

Ulus Travma Acil Cerrahi Derg. 2011 Nov;17(6):504-8. doi: 10.5505/tjtes.2011.04809.

Abstract

BACKGROUND

We reviewed cases with Lisfranc injuries who presented to our center in order to study the adequacy of the treatment method and their final functional outcome.

METHODS

This is a retrospective review of 34 cases diagnosed with Lisfranc injuries treated at our center from 2000 to 2006. This review is aimed to determine the demography and functional outcome of all patients with Lisfranc injury treated during this period.

RESULTS

The injury was classified based on the "Hardcastle and Associates Classification". In our review, we found that the commonest Lisfranc injury was type B2 (41%). These injuries are mostly fixed with K-wires (76.5%). All patients assessed with Bristol Foot Score (BFS) had a good score in all categories, with a total score ranging from 16 to 25.

CONCLUSION

We concluded that all Lisfranc injuries, whether treated with closed or open fixation methods, demonstrated a good long-term functional outcome.

摘要

背景

我们回顾了在我们中心就诊的Lisfranc损伤病例,以研究治疗方法的适当性及其最终功能结果。

方法

这是一项对2000年至2006年在我们中心接受治疗的34例确诊为Lisfranc损伤病例的回顾性研究。本研究旨在确定在此期间接受治疗的所有Lisfranc损伤患者的人口统计学特征和功能结果。

结果

损伤根据“Hardcastle及同事分类法”进行分类。在我们的回顾中,我们发现最常见的Lisfranc损伤是B2型(41%)。这些损伤大多用克氏针固定(76.5%)。所有用布里斯托尔足部评分(BFS)评估的患者在所有类别中得分都很好,总分在16至25分之间。

结论

我们得出结论,所有Lisfranc损伤,无论采用闭合或开放固定方法治疗,都显示出良好的长期功能结果。

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