Lisfranc Injuries: What Have We Learned Since Napoleon’s Era?

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• 作者：Jan-Eric Esway ; Matison Boyer ; Michael Shereff ; Dane K. Wukich
• 关键词：Lisfranc ; tarsometatarsal ; midfoot ; trauma ; fracture ; dislocation
• 刊名：Operative Techniques in Orthopaedics
• 出版年：2006
• 出版时间：January 2006
• 年：2006
• 卷：16
• 期：1
• 页码：60-67
• 全文大小：394 K

文摘

SLND can precisely predict the status of the axillary lymph nodes. A sentinel node that is tumor free should predict tumor-free axillary nodes in at least 95 % of cases. The procedure is well tolerated, and axillary staging can be achieved with minimal morbidity. The procedure does have a learning curve, and thus the surgeon should validate the technique's accuracy by performing an immediate CALND in the learning phase. A successful SLND requires not only adherence to technical factors as outlined, but also collaboration from colleagues in nuclear medicine and pathology. Establishing SLND as a standard procedure and to determining whether it can be performed in isolation without CALND requires completion of several active multicenter randomized trials.