PDF(Pubmed)
Abstract：
Lisfranc injury refers to a group of bony or ligamentous injuries in which one or more of the metatarsals are displaced with respect to the tarsus. These injuries can occur as a result of either high-energy trauma like motor vehicle accidents and falls from height, or low-energy trauma from sports activities. A significant proportion of Lisfranc injuries are missed initially. The effects of delayed and missed diagnosed cases can be devastating as patients may develop progressive midfoot instability, collapse of arch, abduction of forefoot, and post-traumatic osteoarthritis, which can cause chronic pain, stiffness, and foot and ankle complex dysfunction. Favourable outcomes are associated with early diagnosis and prompt treatment. Open reduction and internal fixation (ORIF) with arthrodesis has better results than ORIF alone in functional outcomes. Dorsal bridge plates are currently the preferred mode of fixation due to advantages over trans-articular screws.
摘要：
Lisfranc损伤是指一组骨或韧带损伤，其中一个或多个meta骨相对于tar骨移位。这些伤害可能是由于高能创伤，如机动车事故和高空坠落，或体育活动造成的低能量创伤。最初错过了很大一部分Lisfranc受伤。延迟和漏诊病例的影响可能是毁灭性的，因为患者可能会发展为进行性中足不稳定，拱门倒塌，前脚外展,和创伤后骨关节炎，会导致慢性疼痛，刚度,脚和踝关节复杂功能障碍。良好的结果与早期诊断和及时治疗有关。切开复位内固定（ORIF）与关节固定术相比，在功能预后方面具有更好的效果。由于背桥钢板优于跨关节螺钉，因此目前是首选的固定方式。
