侯志勇,张英泽,潘进社,李增炎,彭阿钦,焦振清,李衡.不同固定方式治疗跖跗关节损伤的疗效评价[J].中国康复医学杂志,2006,21(12):1101~1103 |
不同固定方式治疗跖跗关节损伤的疗效评价 点此下载全文 |
侯志勇 张英泽 潘进社 李增炎 彭阿钦 焦振清 李衡 |
[1]河北医科大学第三医院骨科创伤急救中心,石家庄050051 [2]河北医科大学第三医院,石家庄050051 |
基金项目: |
DOI: |
摘要点击次数: 2284 |
全文下载次数: 2216 |
摘要: |
目的:探讨跖跗关节脱位及骨折脱位的治疗方法及临床疗效。方法:对1998-2004年收治的74例跖跗关节损伤患者进行了回顾性研究,本组病例复位后分别采用石膏外固定24例、克氏针内固定22例、螺钉内同定28例。其中,单纯脱位型21例,骨折脱位型53例。结果:采用美国骨科矫形足踝协会(AOFAS)足评分标准评价随访患者的足术后功能状况,并根据不同的分型进行了优良率的比较。结论:解剖复位螺钉内固定可使跖跗关节得到长期有效的固定.取得较好的治疗效果.但是单纯脱位型较骨折脱位型预后差. |
关键词:跖跗关节 脱位及骨折脱位 螺钉固定 |
Treatment of tarso-metatarsal joint injury Download Fulltext |
HOU Zhiyong ZHANG Yingze PAN Jinshe et al |
Dept. of Orthopaedics,The Third Hospital of Hebei Medical University,Shijiazhuang,050051 |
Fund Project: |
Abstract: |
Objective:To evaluate the treatment methods and clinical effect of dislocation and fracture-dislocation of tarsometatarsal joint.Method:We performed a retrospective study of patients with Lisfranc injury in a seven-year period(1998-2004). Among seventy-four patients, twenty-four were treated with plaster fixation, twenty-two with Kirschner wire fixation and twenty-eight with screw fixation. Twenty-one injuries were purely ligamentous, and fifty-three were combined ligamentous and osseous.Result:Seventy-four patients were followed for an average of eighteen months.Patient outcome was assessed with the American Orthopedic Foot and Ankle Society (AOFAS) midfoot score. Conclusion:Anatomical reduction and screw fixation of a Lisfranc injury leads to the best long-term outcomes,but purely ligamentous injuries have poor outcomes despite surgical managements. |
Keywords:tarsometatarsal joint,dislocation,fracture-dislocation,screw fixation, |
|
查看全文 查看/发表评论 |
|
|
|
|
|