Department of Orthopaedic Surgery-Trauma, Kaiser Permanente Medical Center, Anaheim, CA.
J Orthop Trauma. 2018 Aug;32 Suppl 1:S42-S43. doi: 10.1097/BOT.0000000000001198.
Lisfranc injuries are uncommon; however, if left untreated, it can have a detrimental effect causing deformity, chronic pain, and mid-foot arthrosis. Injury can include disruption of the first through fifth tarsometatarsal joints as well as variant patterns that include the involvement of the metatarsals, the naviculocuneiform articulation, and the cuboid. There is controversy regarding the benefits of open reduction internal fixation versus arthrodesis. Regardless, anatomical reduction is paramount to obtaining a good functional outcome. This video details the surgical approach and the reduction and fixation strategy of a high-energy Lisfranc complex fracture dislocation.
跖跗关节损伤并不常见；然而，如果不加以治疗，可能会导致畸形、慢性疼痛和中足关节炎等不良后果。损伤可能包括第一至第五跖跗关节的中断，以及包括跖骨、跗舟骨和骰骨在内的变体模式。对于切开复位内固定与关节融合术的益处存在争议。无论如何，解剖复位对于获得良好的功能结果至关重要。本视频详细介绍了高能跖跗关节复合骨折脱位的手术入路、复位和固定策略。
