Bonnel F, Barthélémy M
J Chir (Paris). 1976 May-Jun;111(5-6):573-92.
A study of 39 cases permitted us an analysis of the lesions of Lisfranc's joint, from severe fracture dislocation to fractures which are rarely reported in this joint. Standard XRay views seem to us insufficient and we propose carrying out oblique views and, sometimes, tomographic views. We were thus able to obtain information permitting a mechanical functional classification, and thus interpret the lesions in relation to the cause and thus adapt treatment. A long-term follow up of 23 cases suggests frequently invaliding sequelae after involvement of the tarso-metatarsal joints. The authors suggest resection and arthrodesis straightaway in dislocations.
一项针对39例病例的研究使我们能够对Lisfranc关节的损伤进行分析，涵盖从严重骨折脱位到该关节罕见骨折的各种情况。我们认为标准X线片似乎不够，建议进行斜位片检查，有时还需进行断层扫描。这样我们就能获得信息，从而进行机械功能分类，并据此解读与病因相关的损伤情况，进而调整治疗方案。对23例病例的长期随访表明，跗跖关节损伤后常出现致残后遗症。作者建议对于脱位应立即进行切除和关节融合术。
