急性跖跗关节损伤12例临床分析
【摘要】 目的 探讨急性跖跗关节损伤的诊断方法及手术治疗疗效。方法 回顾我院于2006年1 月至2010 年12月间，收治急性跖跗关节损伤12例患者的病例资料。
结果 所有患者得到随访，随访时间12~47 个月，平均23 个月。术后12 个月根据Maryland 足部功能评分标准，获优4例，良4例，可3例，差1例，优良率65.2%。结论 解剖复位、稳定固定是跖跗关节复合体损伤获得良好预后的治疗关键。
【关键词】
跖跗关节;骨折;脱位;手术治疗
【Abstract】 Objective
To explore the diagnosis and surgical treatment of acute tarsometatarsal joint injuries. Methods 12 patients who suffered from tarsometatarsal joint injuries and had been treated with open reduction and internal fixation were retrospectively studied since 2006.Results In all 12 patients, all were follow-up, 23 months was on average.According to Maryland scoring, the results were excellent in 4 cases, good in 4 cases,fair in 3 cases, and poor in 1 cases. Excellent and good rate are 66.7%. Conclusion Anatomical reduction and stable fixation are important for satisfying results in treating tarsometatarsal joint complex injuries.
【Key words】
Tarsometatarsal joints; Fractures; Dislocations; Operation
跖跗关节又称Lisfranc 关节,跖跗关节骨折脱位即指发生在楔骨远侧和跖骨之间的骨折和脱位, 临床出现概率为0.02%~0.9%[1] ......
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