丽斯弗朗克关节的严重损伤:一项对141名患者的回顾性多中心研究
Constance Podvin1, Marc Saab1, Christophe Chantelot1
1Service de Traumatologie, Hôpital Roger Salengro, CHU de Lille, Hôpital Roger Salengro, F-59000 Lille, France.
Injury
|July 28, 2024
概括
利斯弗朗克关节损伤通常涉及M2骨折,并使用针进行管理,尽管螺丝在功能结果方面优越. 开放式减速和螺丝固定在这些复杂的脚损伤中产生更好的结果.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
- 足部和脚受伤 足部和脚受伤
背景情况:
- 丽斯弗朗克关节损伤很常见,经常被诊断不足,是高或低能量的创伤造成的.
- 由于病变的变化和相关的伤害,管理是具有挑战性的,外科治疗经常受到辩论.
- 评估结果和生活质量影响对于有效的患者护理至关重要.
研究的目的:
- 评价和比较管理策略的李斯弗朗克伤害.
- 分析这些损伤的临床,功能和放射性演变.
- 评估患者的长期生活质量后果.
主要方法:
- 一项回顾性多中心研究包括141名Lisfranc损伤患者 (≥16岁).
- 收集的数据包括流行病学,骨质合成类型和放射结果.
- 通过电话审查,使用SF12,FAAM和AOFAS分数来评估功能结果.
主要成果:
- 近50%的病例有相关的M2基骨折;25%接受了封闭的减少和固定.
- 针固定 (69%) 比螺丝固定更常见,只有2/3的病例实现了解剖缩小.
- 与引脚相比,螺丝固定的FAAM分数明显更好; 45%的人在一年内患上了骨关节炎.
结论:
- 这项研究观察到利斯弗朗克伤害的针固定率很高,与推螺丝和板的文献形成鲜明对比.
- 开放式减速和螺丝固定与更好的减速质量和功能结果有关.
- 相关的M2骨折很常见,实现解剖缩小对于患者的预后至关重要.
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