Surgical treatment for Lisfranc injury with cuboid compressive fracture
10.3760/cma.j.issn.1671-7600.2018.06.004
- VernacularTitle:合并骰骨压缩性骨折的Lisfranc损伤的手术治疗
- Author:
Wenqi GU
1
;
Hongwei XU
;
Zhongmin SHI
;
Guohua MEI
;
Jianfeng XUE
;
Jian ZOU
;
Xiaokang WANG
Author Information
1. 201306,上海健康医学院附属第六人民医院东院骨科
- Keywords:
Cuboid bone;
Foot joints;
Fractures,bone;
Fracture fixation,internal
- From:
Chinese Journal of Orthopaedic Trauma
2018;20(6):476-481
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate surgical treatment for Lisfranc injury with cuboid compressive fracture.Methods Totally 19 cases of Lisfranc injury with cuboid compressive fracture were treated at Department of Orthopaedic Surgery,Shanghai Sixth People's Hospital from June 2010 to June 2016.They were 12 men and 7 women,with an average age of 41.2 years (from 20 to 70 years).Selective open reduction and internal fixation was not applied for all the cases until their soft tissue condition was improved.American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) were used to evaluate the outcomes.Results Of this cohort,18 cases were followed up for an average of 4 years (from 1 to 7 years).Their postoperative AOFAS midfoot scores ranged from 56 to 97 points,averaging 81.9 points;their VAS scores ranged from 0 to 7 points,averaging 1.7 points.Two patients reported persistent pain due to traumatic midfoot arthritis which was cured by arthrodesis after conservative therapy failed.No such complications as nonunion,malunion or implant failure occurred in the other patients.Conclusion Open reduction and internal fixation combined with bone graft and external fixation is an effective treatment for Lisfranc injury with cuboid compressive fracture,because it can restore the alignment of lateral column and achieve rigid stabilization.
