• 作者：Iker Uriarte Llano ; ^{txuriart@hotmail.com} ; Oskar Sá ; ez de Ugarte Sobró ; n ; Alberto Cruchaga Celada ; Idoia Gutié ; rrez Sá ; nchez ; Isidoro Garc&#237 ; a Sá ; nchez ; José ; Luis Mart&#237 ; nez de los Mozos
• 关键词：Articulació ; n de Lisfranc ; Fractura-luxació ; n ; Mediopié
• 刊名：Gaceta M茅dica de Bilbao
• 出版年：2010
• 期刊代码：pca165_03044858
• 类别：med
• 出版时间：April-June 2010
• 卷：107
• 期：2
• 页码：59-63
• 文件大小：424 K

Introduction

The aim of this study was to examine the treatment and results of Lisfranc fracture-dislocations treated at our department from 1995 to 2009.

Material and methods

We retrospectively reviewed 20 cases in 19 patients. The lesions were classified according to Hardcastle's criteria. Most cases were due to high-energy trauma, and nine cases were associated with other lesions. Eighteen cases were treated surgically (16 with closed reduction and fixation with wires and two with open reduction and internal fixation).

Results

Patients who underwent surgery had an average AOFAS score of 85.43 and an average VAS score of 8. Radiologically, anatomic reduction was achieved in 14 cases. The most frequent long-term complication was tarsometatarsal arthritis.

Conclusion

Closed reduction and fixation with Kirschner wires for Lisfranc fracture-dislocation provides good clinical and radiological outcomes.