Bevilacqua Nicholas J
Foot and Ankle Surgery, North Jersey Orthopaedic Specialists, 730 Palisade Avenue, Teaneck, NJ 07666, USA.
Clin Podiatr Med Surg. 2017 Jul;34(3):315-325. doi: 10.1016/j.cpm.2017.02.003. Epub 2017 Apr 7.
This article discusses tarsometatarsal arthrodesis for Lisfranc injuries. Although open reduction and internal fixation has traditionally been the treatment of choice for most Lisfranc fracture-dislocations, there is a trend toward primary fusion, especially for purely ligamentous injuries. Consideration should be made for primary fusion in select fracture-dislocation cases. Primary fusion offers a single-stage alternative with potentially more stable, predictable results overtime.
本文讨论了用于Lisfranc损伤的跗跖关节融合术。尽管传统上切开复位内固定一直是大多数Lisfranc骨折脱位的首选治疗方法，但目前有一种倾向于一期融合的趋势，尤其是对于单纯韧带损伤。对于某些骨折脱位病例，应考虑一期融合。一期融合提供了一种单阶段的替代方法，随着时间的推移，可能会产生更稳定、可预测的结果。
