摘要
背景:高能量Lisfranc损伤发病率逐年上升。该损伤如果得不到早期及时合理的治疗,将会给患者带来严重的后遗症。目的:回顾性分析一期内侧柱融合治疗高能量Lisfranc损伤的临床疗效。方法:回顾性分析2017年3月至2019年3月收治的行一期内侧柱融合术的Lisfranc骨折患者15例。所有患者均为新鲜骨折。观察切口感染、骨折延迟愈合或不愈合发生情况,随访记录踝关节活动度以及美国足踝外科协会(AOFAS)评分。结果:所有患者均获得随访。随访时间15~36个月,平均随访(26.4±10.2)个月。所有患者全部完成融合,无感染、融合不愈合、不稳定等手术相关并发症发生。末次随访时,踝关节活动度跖屈35°~40°,平均(34.5±6.8)°,背屈38°~45°,平均(42.5±4.5)°,平均AOFAS评分(82.2±15.8)分,其中优13例,良好2例,差0例。结论:对于高能量Lisfranc损伤行一期内侧柱融合术治疗,可稳定固定跖跗关节,可以早期功能锻炼,临床疗效满意。
Background:The incidence of high-energy Lisfranc injury is increasing recently.If early and timely treatment is not available,it will bring serious sequelae to patients.Objective:To retrospectively analyze the clinical effect of one-stage ibnyt eornneal-cstoalugem nm feudsiiaoln coonlu hmignh f-uesinoenrg fyr oLmis frMaanrcc hin j2 u0 r1 y.7 Mtoe thMoadrsc:h Fi2 f0 te1 e9 n wpeartiee netnsr owllitehd hiing hth-iesn setrugdy y.L isAflrla nincj furraiectsu rweesr ter efraetesdh fractures.The wound infection,delayed union or nonunion of fracture,range of ankle motion,and AOFAS score were evaluated.Results:The mean duration of follow-up was(26.4±10.2)months(range,15-39 months)in all the patients.The fusion was achieved in all the patients.No surgery-related complications such as infection,nonunion or instability were observed.At the last follow-up,the mean plantar flexion and dorsiflexion were 34.5°±6.8°(35°-40°)and 42.5°±4.5°(38°-45°),respectively;the mean AOFAS score was 82.2±15.8.The clinical outcome was excellent in 13 cases and good in 2 cases.Conclusions:Onestage internal column fusion can stabilize ankle joints and achieve early functional exercise and satisfactory clinical results in patients with high-energy Lisfranc injury.
作者
鹿亮
张雨
尚希福
刘彬
俞光荣
LU Liang;ZHANG Yu;SHANG Xifu;LIU Bin;YU Guangrong(Department of Orthopaedics,The First Affiliated Hospital of University of Science and Technology of China,Hefei 230001;Department of Sports Medicine and Adult Reconstruction Surgery,Nanjing Drum Tower Hospital,Nanjing University Medical School,Nanjing 210008;Department of Orthopaedics,Tongji Hospital,Tongji University,Shanghai 200092,China)
出处
《中华骨与关节外科杂志》
2020年第7期543-547,共5页
Chinese Journal of Bone and Joint Surgery
