[摘要] 目的 探讨跖跗关节骨折脱位的治疗方法及疗效。方法 回顾性研究10年间36例跖跗关节脱位病人闭合复位外固定治疗(7例)和开放复位外固定治疗(29例)的结果。平均随访4.5年，按照足的外形、功能、疼痛、X线片形态等进行评定。结果 保守治疗优良率57.14%，手术治疗优良率68.97%。结论 除少数移位轻微的单关节脱位患者可复位后石膏外固定治疗外，应提倡早期手术治疗，解剖复位和稳定的固定可获得最佳疗效。

    [关键词] 跖跗关节；骨折脱位；骨折内固定术

    [中图分类号] R683.42 [文献标识码] A [文章编号] 1673-9701(2009)12-44-02

    Analysis of Results of 36 Cases Lisfranc Fracture-dislocations

    GAO GuangxingWANG ZonglingSI Chunxiang

    Department of Surgery，Linpan Hospital of Victory Oil Field，Shandong 251507

    [Abstract] Objective To explore the treatment method and effect of acute Lisfranc fracture-dislocations. Methods A total of 36 patients with Lisfranc fracture-dislocations had received closed reduction(in 7 cases) or open reduction and internal fixation(in 29 cases) treatment. The patients were then followed up for averaged 4.5 years. It was classified basis of deformity ...... 濠碘€冲€归悘澶愬箖閵娿儲韬ù锝堟硶閺併倝骞嶇€ｎ偅绨氱紒娑橆槹缁侊妇鎲撮崼鐔割槯闁哄啰濮电涵鍫曞蓟閵壯勭畽闁瑰瓨鐗旂粭鍛姜閽樺寮块柡鍌氭祫缁辨繈宕ｉ婵嗗幋闁哄嫷鍨甸～锕傚箹濠婂懎鍋嶇€殿喗娲橀幖鍛婂緞鏉堚晜鍩傞柍銉︾矎濞村棝鎯嶆担娴嬪亾濠垫挾绀夐悹鍥棑閸嬶綁宕欑拠鑼綄妤犵偞娲樺〒鑸电▔鐎ｎ偅鐓欓柣銊ュ閳ь剚绮庨弫鎼佹嚇閹寸姴顣奸柍銉︾箖閸ㄣ劑鍨惧⿰鍐ㄦ枾缂傚啯鍨块妴澶愬灳濠靛⿴鍟忛梻鍌ゅ枔閳ь剨鎷�


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