Persiani Pietro, Dario Gurzi Michele, Formica Alessandro, Ruggeri Andrea, Villani Ciro
Acta Orthop Belg. 2019 Jun;85(2):150-158.
A Lisfranc injury is when one or more of the metatarsals are displaced from the tarsus. The term is more commonly used to describe an injury to the midfoot, centred on the 2nd tarso-metatarsal joint. These fractures are sometimes easily overlooked, especially if they are part of a polytrauma. They are often difficult to diagnose and treat, but if they go undetected and are not properly treated, they can cause long-term or chronic disability. Our team reviewed a group of 71 patients with a Lisfranc fracture dislocation. The lesions were classified according to Meyerson classification. All the patients were re-evaluated 3 years after their surgeries by clinical examination, Ankle-Hindfoot Scale AOFAS questionnaire, X-rays and baropodometric analysis. This review outlines the treatment outcome of this injury, taking into consideration the timing of diagnosis.
跖跗关节损伤是指一个或多个跖骨与跗骨发生移位。该术语更常用于描述以第二跗跖关节为中心的中足损伤。这些骨折有时很容易被忽视，尤其是在多发伤的情况下。它们通常难以诊断和治疗，但如果未被发现且未得到妥善治疗，可能会导致长期或慢性残疾。我们的团队对一组71例跖跗关节骨折脱位患者进行了回顾性研究。根据迈尔森分类法对损伤进行分类。所有患者在手术后3年通过临床检查、AOFAS踝-后足量表问卷、X线和压力板分析进行重新评估。本综述考虑到诊断时机，概述了这种损伤的治疗结果。
