Waryasz Gregory R, Marcaccio Stephen, Gil Joseph A
Department of Orthopaedic Surgery, Rhode Island Hospital/Brown University (GRW, JAG).
Warren Alpert Medical School of Brown University, Providence, Rhode Island (SM).
Foot Ankle Spec. 2017 Apr;10(2):149-151. doi: 10.1177/1938640016677812. Epub 2016 Nov 10.
Lisfranc injury fixation or arthrodesis typically involves the reduction and fixation of several tarsometatarsal joints with either screws or a plate and screw constructs. A successful fixation or arthrodesis of the Lisfranc joint requires proper screw placement from the medial cuneiform to the base of the second metatarsal. This is typically done free-hand; however, we describe use of an anterior cruciate ligament guide to help maintain reduction and assist with drill trajectory for more accurate screw or suture button construct placement.
Level V.
Lisfranc损伤固定或关节融合术通常包括用螺钉或钢板螺钉结构对多个跗跖关节进行复位和固定。Lisfranc关节的成功固定或关节融合需要将螺钉从内侧楔骨正确放置到第二跖骨基底。这通常是徒手操作;然而,我们描述了使用前交叉韧带导向器来帮助维持复位并辅助钻孔轨迹,以更准确地放置螺钉或缝合纽扣结构。
V级。