Eleftheriou Kyriacos I, Rosenfeld Peter F
Department of Trauma and Orthopaedics, St Mary's Hospital, Praed Street, London W2 1NY, UK.
Foot Ankle Clin. 2013 Jun;18(2):219-36. doi: 10.1016/j.fcl.2013.02.004. Epub 2013 Mar 19.
Although Lisfranc injuries are uncommon, prompt and accurate diagnosis of such injuries in athletes is essential in preventing career-ending injury. Undisplaced injuries have an excellent result with nonoperative treatment. The presence of any displacement warrants open reduction and anatomic fixation; although current evidence mostly supports screw fixation, plate fixation may avoid joint intrusion. It is imperative to warn athletes with significantly displaced injuries that there is a risk of a poor outcome, although some recent evidence suggests that return to elite competitive sports is still likely after surgical intervention. Severe injuries may have better outcomes with limited arthrodesis.
尽管跖跗关节损伤并不常见，但对于运动员来说，及时准确地诊断此类损伤对于预防终结职业生涯的损伤至关重要。无移位损伤采用非手术治疗效果极佳。存在任何移位都需要切开复位和解剖固定；尽管目前的证据大多支持螺钉固定，但钢板固定可能避免关节内植入。必须警告有明显移位损伤的运动员，存在预后不良的风险，尽管最近的一些证据表明，手术干预后仍有可能重返精英竞技运动。严重损伤采用有限关节融合术可能会有更好的预后。
