Babst R, Simmen B R, Regazzoni P
Helv Chir Acta. 1989 Dec;56(4):603-7.
Dislocations and fracture dislocations of the tarsometotarsal joint are uncommon (only 30 cases have been treated in our hospital in a 20-year period). The late results of tarsometotarsal injuries in 20 patients have been reviewed. The average follow-up was 3.8 years (range 8 months to 20 years). Methods of treatment were either open (n = 15) or closed (n = 5) reduction with (n = 18) or without (n = 2) internal fixation and cast immobilization (n = 10). Late results clearly correlate with the quality of reduction. An open procedure is usually necessary to achieve anatomical reduction. Diagnostic and operative problems are discussed.
跗跖关节脱位及骨折脱位并不常见（我院20年间仅治疗过30例）。回顾了20例跗跖关节损伤的后期结果。平均随访时间为3.8年（范围8个月至20年）。治疗方法包括切开复位（n = 15）或闭合复位（n = 5），有（n = 18）或无（n = 2）内固定，并采用石膏固定（n = 10）。后期结果与复位质量明显相关。通常需要采用切开手术来实现解剖复位。文中讨论了诊断及手术相关问题。
