桥接钢板联合皮质螺钉治疗Lisfranc关节并Chopart关节损伤的临床观察
[摘要] 目的 探讨桥接钢板联合皮质螺钉治疗Lisfranc关节并Chopart关节损伤的临床疗效。 方法 选择2014年6月～2016年8月在我院收治的14例Lisfranc损伤患者，其中3例合并Chopart关节损伤。所有患者在软组织条件允许的情况下，均采用切开复位桥接钢板联合皮质螺钉固定术，术后定期影像学随访，并采用美国矫形足踝外科协会（AOFAS）评分标准评价术后患足的功能。 结果 12例获得随访，随访时间12～36个月，平均19个月，所有患者均达到解剖复位，未出现感染、皮肤坏死、内固定松动断裂。术后12个月按AOFAS评分，优（90～100分）8例，良（75～89分）4例，可（50～74分）2例，优良率85.7%。 结论 桥接钢板联合皮质螺钉治疗Lisfranc关节并Chopart关节损伤可获得良好的疗效。
[关键词] 桥接钢板；皮质螺钉；Lisfranc损伤；Chopart损伤
[中图分类号] R687.3 [文献标识码] B [文章编号] 1673-9701（2017）35-0057-03
[Abstract] Objective To investigate the clinical effect of bridge plate combined with cortical screw in the treatment of Lisfranc joint and Chopart joint injury. Methods 14 cases of Lisfranc injury treated in our hospital， among which 3 cases were complicated with Chopart joint injury， from June 2014 to August 2016 were selected. All cases were treated with open reduction and bridge plate combined with cortex screw fixation in the case of soft tissue conditions permit. Postoperative regular radiographic follow-up was performed. The AOFAS score standard was used to evaluate the function of foot after operation. Results 12 patients were followed up for 12-36 months with an average of 19 months. All the patients achieved anatomic reduction without any infection， skin necrosis and internal fixation loosening and rupture. According to the AOFAS score at 12 months after surgery， 8 cases were excellent（90-100 points）， 4 cases were good（75-89 points）， 2 cases were acceptable（50-74 points）， with the excellent and good rate of 85.7%....
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