Swords Michael, Manoli Arthur, Manoli Arthur
Department of Orthopedic Surgery, Sparrow Hospital, Department of Orthopedic Surgery, Michigan State University, Michigan Orthopedic Center, 2815 South Pennsylvania Avenue Suite 204, Lansing, Michigan 48910, USA.
Department of Orthopaedic Surgery, Wayne State University, Detroit Michigan and Michigan State University, East Lansing, MI, USA; Michigan Orthopedic Foot and Ankle Center, 44555 Woodward Avenue 48341, Pontiac, MI 48341, USA.
Foot Ankle Clin. 2022 Jun;27(2):287-301. doi: 10.1016/j.fcl.2021.11.017. Epub 2022 May 11.
Salvage of Lisfranc, or tarsometatarsal injuries, may be necessary because of a variety of clinical scenarios. Although rare, these injuries represent a broad spectrum of injury to the midfoot ranging from low-energy ligamentous injuries to high-energy injuries with significant displacement and associated fractures. Poor outcomes and complications may occur including posttraumatic arthritis, instability, pain, infection, and loss of function. Strategies and technical considerations for salvage of these complex injuries are provided.
由于多种临床情况,可能需要对Lisfranc损伤或跗跖关节损伤进行挽救治疗。尽管这些损伤较为罕见,但它们涵盖了中足广泛的损伤范围,从低能量的韧带损伤到高能量且伴有明显移位及相关骨折的损伤。可能会出现不良后果和并发症,包括创伤后关节炎、不稳定、疼痛、感染和功能丧失。本文提供了这些复杂损伤挽救治疗的策略和技术考量。