创伤后畸形愈合的Lisfranc关节损伤的保关节矫正

Joint-sparing Corrections in Malunited Lisfranc Joint Injuries.

作者信息

Nery Caio, Raduan Fernando, Baumfeld Daniel

机构信息

Albert Einstein Hospital, Foot and Ankle Clinic, Hospital Israelita Albert Einstein, Avenue Albert Einstein, 627, Bloco A1 - 3o andar, sala 317, Morumbi, São Paulo, Brazil; UNIFESP - Federal University of São Paulo - Foot and Ankle Surgery, São Paulo, Brazil.

出版信息

Foot Ankle Clin. 2016 Mar;21(1):161-76. doi: 10.1016/j.fcl.2015.09.007.

DOI:10.1016/j.fcl.2015.09.007

PMID:26915786

Abstract

Lisfranc fracture-dislocations are very serious and potentially disabling injuries. Unfortunately, they are often misdiagnosed. Multiplanar midfoot deformities that result from these fracture-dislocations are precursors of joint degeneration and significant functional disabilities. Anatomic reduction with different types of internal fixation is an efficient method to reconstruct midfoot alignment and stability. Joint-preserving reconstruction techniques emerge as a viable alternative to corrective fusion as they achieve stable joint realignment with preserved motion.

摘要

Lisfranc骨折脱位是非常严重且可能导致残疾的损伤。不幸的是，它们常常被误诊。这些骨折脱位导致的多平面中足畸形是关节退变和严重功能残疾的先兆。采用不同类型内固定进行解剖复位是重建中足对线和稳定性的有效方法。保留关节的重建技术作为矫正融合的一种可行替代方法应运而生，因为它们能在保留运动的情况下实现关节的稳定复位。