关键词: lisfranc fracture lisfranc injury lisfranc injury classifications lisfranc sport injury neglected foot injury primary arthrodesis return-to-play surgical fixation

来  源:   DOI:10.7759/cureus.48713   PDF(Pubmed)

Abstract:
Lisfranc sports injuries include tarsometatarsal joint injuries, which may be accompanied by fractures. They most commonly occur due to a blow or axial force. The aim of this review is to assess the current standards for surgical intervention in Lisfranc injuries resulting from sports-related accidents. This evaluation will cover the timing of treatment, the recovery process, and the appropriate timing for a return to normal sporting activities. This research was done via an analytical review of current literature. Methods included a structured search strategy on PubMed, Science Direct, and Google Scholar. The collated literature was processed using formal inclusion or exclusion, data extraction, and validity assessment. Joint involvement and severity were taken into account while classifying Lisfranc injuries. The primary fixation and fusion techniques for Lisfranc injuries were compared, and the surgical management of these injuries was examined in all of the literature. Treatment recovery times were examined, and the results were talked about. A variety of injuries, from minor sprains to serious fractures and rips, make up Lisfranc injuries. Although open reduction internal fixation (ORIF) in combination with primary arthrodesis (PA) is now thought to be the optimum course of treatment, its acceptance has increased. Patients with Lisfranc injuries can usually expect excellent outcomes and the return of joint function to its pre-injury form if the injury is appropriately assessed and treated. Lisfranc injuries are manageable and have a good recovery time if not neglected. The outcomes of management and surgical options are also quite satisfactory.
摘要:
Lisfranc运动损伤包括睑板关节损伤,可能伴有骨折.它们最常见的是由于打击或轴向力。这篇评论的目的是评估与运动相关的事故导致的Lisfranc伤害的外科手术干预的现行标准。这项评估将涵盖治疗的时机,恢复过程,以及恢复正常体育活动的适当时机。这项研究是通过对当前文献的分析回顾完成的。方法包括在PubMed上的结构化搜索策略,科学直接,谷歌学者。整理的文献使用正式的包含或排除进行处理,数据提取,和有效性评估。在对Lisfranc损伤进行分类时,考虑了关节受累和严重程度。比较了Lisfranc损伤的主要固定和融合技术,所有文献都检查了这些损伤的手术处理。检查治疗恢复时间,讨论了结果。各种各样的伤害,从轻微扭伤到严重的骨折和撕裂,弥补Lisfranc的伤害。虽然切开复位内固定术(ORIF)结合原发性关节固定术(PA)现在被认为是最佳的治疗方案,它的接受度增加了。如果对损伤进行适当评估和治疗,Lisfranc损伤的患者通常可以预期出色的结果,并且关节功能可以恢复到损伤前的形式。Lisfranc受伤是可以控制的,并且如果不被忽视,则有很好的恢复时间。管理和手术选择的结果也相当令人满意。
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