Surgical treatment of Lisfranc fracture-dislocations by reconstruction of three-column with Kirschner wire fixation.
- Author:
Yong-zhong ZHOU
1
;
Xian-min WU
;
You-zhong ZHANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Bone Wires; Female; Fracture Fixation; methods; Fractures, Bone; surgery; Humans; Joint Dislocations; surgery; Joints; injuries; Male; Metatarsal Bones; injuries; Middle Aged; Tarsal Bones; injuries
- From: China Journal of Orthopaedics and Traumatology 2008;21(7):539-540
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the effect of reduction and fixation with multi-Kirschner wires for treatment of Lisfranc fracture-dislocations.
METHODSThere were 49 patients (37 male and 12 female aged from 20 to 28 years old) involved in the study. According to the Myserson damage typing, type A in 12 cases, B1 in 3, B2 in 28, C1 in 4 and C2 in 2. Kirschner wires were applied to fix and reconstruct the three-column in three directions according to the structural characteristic of midfoot. Reconstruction of three-column needed not only to reduce and to fix every single column, but also to establish union of the columns.
RESULTSAccording to the evaluation of AOFAS for midfoot, 14 cases were excellent (90 to100), 22 cases good (80 to 89), 8 cases fair (70 to 79) and 5 cases poor (60 to 69), with an average score of 84.200+/-9.663.
CONCLUSIONThe diagnosis and treatment of Lisfranc fracture-dislocations should comply with the theory of three-column reconstruction of foot arch, which can achieve the static balance of biomechanics and provide a stable environment for healing of fracture and soft tissue. Reduction and fixation with multi-Kirschner wires is an effective treatment method for Lisfranc fracture-dislocations.
