Old Lisfranc fracture- dislocations
- VernacularTitle:陈旧性跖跗关节骨折脱位
- Author:
Xiangyang XU
;
Jinhao LIU
;
Yuan ZHU
- Publication Type:Journal Article
- Keywords:
Lisfranc;
Fracture, old;
Fracture fixation, internal
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze and discuss the causes of late dysfunction following the mismanagement of acute Lisfranc fracture- dislocations in light of the latest advancement in this field. Methods From March 2000 to February 2005, we treated 34 cases of old Lisfranc fracture- dislocation. 24 cases were treated with open reduction and internal fixation, and 10 with arthrodesis. Results According to the AOFAS for midfoot, 2 cases scored 50 to 60, 4 cases scored 60 to 70, 5 cases scored 70 to 80, 18 cases scored 80 to 90 and 5 cases scored 90 to 100. Conclusions Since the incidence of Lisfranc fracture- dislocation tends to increase, clinic orthopedists must take great care to examine the midfoot strain lest a case should be overlooked. The late complications are related to poor reduction, inadequate fixation, or inadequate postoperative immobilization. For most patients, open reduction and internal fixation within 6 weeks after injure is preferred. The cannulated screws are simple and stable for fixation of lateral and medial columns, and screw removal should be done 3 to 4 months after surgery to prevent recurrent diastasis and screw breakage.
