Clinical Study on Kirschner Wire Limited Internal Fixation plus External Fixation for Patients with Tarsometatarsal Fracture Dislocation_West China Medical Journal

Authors：

 JIAQuan-zhong , GUHua , GOUCheng-guo

Department of Orthopedics, Mianyang 404 Hospital, Mianyang, Sichuan 621000, P. R. China;

Corresponding?author：

Keywords：

Tarsometatarsal joint; Injury; Internal fixation; External fixation; Efficacy; Impact factor

DOI：

10.7507/1002-0179.20140080

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Objective To observe the efficacy of and influencing factors for kirschner wire limited internal fixation plus external fixation for patients with tarsometatarsal fracture dislocation. Methods The efficacy of kirschner wire limited internal fixation plus external fixation treatment for patients with tarsometatarsal fracture dislocation treated between January 2004 and June 2009 was retrospectively analyzed,and we also investigated the impact of surgery time and ligament damage on its long-term prognosis. Results Twenty patients were included,consisting of 16 male and 4 female patients,ranging from 15 to 57 years old.The mean time of follow-up was 24.5 months,ranging from 11 to 41 months.At the time of follow-up,there were 5%(1/20),10%(2/20),50%(10/20) and 35%(7/20) patients with AOFAS ankle-hindfoot score at 0~69,70~79,80~89 and 90-100,respectively;and the excellent rate was 85% in total.In this cohort,the acceptance rate of the results of treatment was 95% at discharging and 85% at the final follow-up,and the difference between the above two time-points was not statistically significant.In addition,patients with earlier surgery treatment and lower degree of ligament injury had better long-term prognosis. Conclusion For patients with tarsometatarsal fracture dislocation,treatment with kirschner wire limited internal fixation plus external fixation can not only effectively restore joint function,but also has minimum surgical trauma,and it is an effective method for the treatment of tarsometatarsal joint injuries.

Citation： JIAQuan-zhong, GUHua, GOUCheng-guo. Clinical Study on Kirschner Wire Limited Internal Fixation plus External Fixation for Patients with Tarsometatarsal Fracture Dislocation. West China Medical Journal, 2014, 29(2): 259-261. doi: 10.7507/1002-0179.20140080 Copy

1.	Jarde O,Gaffuri JG,Woestelandt T,et al.Fractures-luxations of the Lisfranc joint.Apropos of 39 cases[J].Ann Radiol (Paris),1991,34(4):278-284.
2.	Rosenberg GA,Patterson BM.Tarsometatarsal (Lisfranc's) fracture-dislocation[J].Am J Orthop (Belle Mead NJ),1995,(Suppl):7-16.
3.	Brinsden MD,Smith SR,Loxdale PH.Lisfranc injury-surgical fixation facilities an early return to work[J].J R Nav Med Serv,2001,87(2):116-119.
4.	趙敦旭.陳舊性跖跗關節脫位的足弓重建[J].中國修復重建外科雜志,2009,23(7):886-887.
5.	梁軍,于建華.跗跖關節復合損傷的診斷和治療[J].中華骨科雜志,2003,23(3):181-183.
6.	張澤坤,趙靜品,吳文娟,等.跗跖關節在常規足平片中的影像學表現[J].河北醫藥,2011,33(7):1003-1005.
7.	楊茂偉,梁單,郭寶磊,等.Lisfranc損傷切開復位內固定術與關節融合術臨床療效的Meta分析[J].中國醫科大學學報,2011,40(4):364-367.
8.	Trevino SG,Kodros S.Controversies in tarsometatarsal injuries[J].Orthop Clin North Am,1995,26(2):229-238.
9.	蔡曉冰,紀方,王秋根,等.外固定支架結合有限內固定治療C型跖跗關節損傷[J].中華創傷骨科雜志,2006,8(12):1188-1189.
10.	徐向陽,劉津浩,朱淵,等.陳舊性跖跗關節骨折脫位[J].中華創傷骨科雜志,2005,7(12):1136-1138.
11.	Rammelt S,Schneiders W,Schikore H,et al.Primary open reduction and fixation compared with delayed corrective arthrodesis in the treatment of tarsometatarsal (Lisfranc) fracture dislocation[J].J Bone Joint Surg Br,2008,90(11):1499-1506.

1. Jarde O,Gaffuri JG,Woestelandt T,et al.Fractures-luxations of the Lisfranc joint.Apropos of 39 cases[J].Ann Radiol (Paris),1991,34(4):278-284.
2. Rosenberg GA,Patterson BM.Tarsometatarsal (Lisfranc's) fracture-dislocation[J].Am J Orthop (Belle Mead NJ),1995,(Suppl):7-16.
3. Brinsden MD,Smith SR,Loxdale PH.Lisfranc injury-surgical fixation facilities an early return to work[J].J R Nav Med Serv,2001,87(2):116-119.
4. 趙敦旭.陳舊性跖跗關節脫位的足弓重建[J].中國修復重建外科雜志,2009,23(7):886-887.
5. 梁軍,于建華.跗跖關節復合損傷的診斷和治療[J].中華骨科雜志,2003,23(3):181-183.
6. 張澤坤,趙靜品,吳文娟,等.跗跖關節在常規足平片中的影像學表現[J].河北醫藥,2011,33(7):1003-1005.
7. 楊茂偉,梁單,郭寶磊,等.Lisfranc損傷切開復位內固定術與關節融合術臨床療效的Meta分析[J].中國醫科大學學報,2011,40(4):364-367.
8. Trevino SG,Kodros S.Controversies in tarsometatarsal injuries[J].Orthop Clin North Am,1995,26(2):229-238.
9. 蔡曉冰,紀方,王秋根,等.外固定支架結合有限內固定治療C型跖跗關節損傷[J].中華創傷骨科雜志,2006,8(12):1188-1189.
10. 徐向陽,劉津浩,朱淵,等.陳舊性跖跗關節骨折脫位[J].中華創傷骨科雜志,2005,7(12):1136-1138.
11. Rammelt S,Schneiders W,Schikore H,et al.Primary open reduction and fixation compared with delayed corrective arthrodesis in the treatment of tarsometatarsal (Lisfranc) fracture dislocation[J].J Bone Joint Surg Br,2008,90(11):1499-1506.

West China Medical Journal

Clinical Study on Kirschner Wire Limited Internal Fixation plus External Fixation for Patients with Tarsometatarsal Fracture Dislocation

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