里斯弗朗克的伤害
Mark H Hofbauer1, Sriya S Babu1, Austin Vonasek2
1WVU Medicine Wheeling Hospital, 10 Medical Park Road Suite 203, Wheeling, WV 26003, USA.
Clinics in podiatric medicine and surgery
|May 24, 2024
概括
利斯弗朗克损伤越来越多地被认为是低能损伤,将治疗从融合转移到开放的减少内部固定. 实现解剖缩小是关键的,使用灵活的固定方法和潜在的未来关节切除对于碎碎的病例.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理的护理人员.
背景情况:
- 从历史上看,Lisfranc伤害主要归因于高能量创伤.
- 这导致了首要偏好手术融合作为首选治疗方法.
- 最近的证据表明,在Lisfranc伤害中,低能量机制的流行率更高.
研究的目的:
- 重新评估利斯弗朗克伤害的治疗模式.
- 强调开放式减少内部固定 (ORIF) 在管理这些损伤中的作用.
- 概述影响治疗决策和固定策略的因素.
主要方法:
- 目前关于Lisfranc伤害的文献和临床数据的审查.
- 分析受伤特征,解剖学考虑和关节参与.
- 评估手术技术,包括ORIF和桥.
主要成果:
- 对于Lisfranc损伤,低能量的机制比以前认为的更为常见.
- 开放的减少内部固定越来越多地比融合更受青.
- 治疗的成功取决于实现解剖缩小和适当的固定.
结论:
- 利斯弗朗克伤害的管理需要考虑伤害类型和患者因素的细微方法.
- 灵活的固定策略对于成功的结果至关重要.
- 桥可能适用于碎裂骨折,并考虑未来的关节切除.
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