Briceno Jorge, Leucht Anna-Kathrin, Younger Alastair, Veljkovic Andrea
Department of Orthopedic Surgery, Pontificia Universidad Catolica de Chile. Diagonal Paraguay 362, Postal code: 8330077, Santiago, Región Metropolitana, Chile.
Department of Orthopaedics and Traumatology, Cantonal Hospital of Winterthur, Buchnerstrasse 1, 8006 Zurich, Switzerland.
Foot Ankle Clin. 2020 Dec;25(4):711-726. doi: 10.1016/j.fcl.2020.08.014. Epub 2020 Oct 3.
The management of Lisfranc injuries is challenging considering the broad spectrum of energy involved and highly variable clinical presentation. Despite the advances in surgical techniques, subtle Lisfranc injuries can lead to chronic pain and permanent disability. Surgical treatment is mandatory for all the unstable injuries; however, the best surgical technique remains controversial. The most predictive factor for a successful outcome is the maintenance of anatomic alignment; therefore, the selection of the appropriate surgical technique is of paramount importance. This article reviews the current treatment options and describes the selection of the surgical technique based on the different clinical presentations.
考虑到所涉及的能量范围广泛以及临床表现高度可变，Lisfranc损伤的处理具有挑战性。尽管手术技术有所进步，但隐匿的Lisfranc损伤仍可导致慢性疼痛和永久性残疾。所有不稳定损伤均需手术治疗；然而，最佳手术技术仍存在争议。成功预后的最具预测性因素是维持解剖学对线；因此，选择合适的手术技术至关重要。本文回顾了当前的治疗选择，并描述了基于不同临床表现的手术技术选择。
