Surgical treatment of Lisfranc fracture-dislocations by reconstruction of three-column with Kirschner wire fixation / 中国骨伤
China Journal of Orthopaedics and Traumatology
; (12): 539-540, 2008.
Article
em Zh
| WPRIM
| ID: wpr-307058
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To explore the effect of reduction and fixation with multi-Kirschner wires for treatment of Lisfranc fracture-dislocations.</p><p><b>METHODS</b>There 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.</p><p><b>RESULTS</b>According 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.</p><p><b>CONCLUSION</b>The 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.</p>
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Cirurgia Geral
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Ferimentos e Lesões
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Fios Ortopédicos
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Ossos do Metatarso
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Ossos do Tarso
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Luxações Articulares
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Fraturas Ósseas
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Fixação de Fratura
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Articulações
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Métodos
Limite:
Adult
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Female
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Humans
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Male
Idioma:
Zh
Revista:
China Journal of Orthopaedics and Traumatology
Ano de publicação:
2008
Tipo de documento:
Article