里斯弗朗克受伤:管理的最新趋势
Arnab Sain1, Emily Prendergast1, Kanishka Wattage2
1Orthopaedics, Worthing Hospital, University Hospitals Sussex NHS Foundation Trust, Worthing, GBR.
Cureus
|September 11, 2023
概括
利斯弗朗克伤害涉及中脚骨或带损伤. 早期诊断和治疗,包括开放式缩减和通过关节切除的内部固定,可以改善结果并预防慢性疼痛.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤外科 手术 创伤外科
- 运动医学 运动医学
背景情况:
- 利斯弗朗克伤害涉及中脚创伤,通常最初错过.
- 延迟诊断导致不稳定,门崩和慢性疼痛.
- 高能量的创伤和体育活动是常见的原因.
研究的目的:
- 总结Lisfranc伤害的诊断和治疗方法.
- 突出早期干预对于有利结果的重要性.
- 为了比较Lisfranc伤害的手术固定方法.
主要方法:
- 关于利斯弗朗克伤害的文献综述.
- 对诊断挑战和治疗结果的分析.
- 开放式缩减和内部固定 (ORIF) 技术的比较.
主要成果:
- 早期诊断和及时治疗对于有利的结果至关重要.
- 通过关节切除的开放降低和内部固定 (ORIF) 显示出比单独ORIF更好的功能结果.
- 背桥板是首选的固定,而不是跨关节螺丝.
结论:
- 及时诊断和手术干预是管理Lisfranc伤害的关键.
- 带有关节切除和背部桥板的ORIF提供了最佳的功能结果.
- 预防慢性疼痛和功能障碍需要及时和适当的治疗.
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