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-  2018 

经关节螺钉、背侧钢板及两者联合固定治疗Lisfranc骨折脱位的效果 Effect of Joint Screw,Dorsal Plate and Combined Fixation on Lisfranc Fracture and Dislocation

Keywords: 经关节螺钉,背侧钢板,Lisfranc骨折脱位,创伤性关节炎,并发症

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Abstract:

目的:探讨经关节螺钉、背侧钢板及两者联合固定治疗Lisfranc骨折脱位的疗效及预后。方法:将2015年6月-2017年6月在我院接受治疗的120例Lisfranc骨折脱位患者根据治疗方式不同分组:A组(28例),给予经关节螺钉固定治疗;B组(34例),给予背侧钢板固定治疗;C组(58例),给予经关节螺钉与背侧钢板联合治疗。对3组患者治疗前后踝-后足评分(AOFAS)、创伤性关节炎发生情况、解剖复位情况以及并发症率进行综合评价。结果:C组治疗后AOFAS评分显著低于A组、B组(P<0.05);C组创伤性关节炎分级、解剖复位优良率均显著高于A组、B组(P<0.05);C组术后并发症率高于其他两组(P<0.05)。结论:经关节螺钉、背侧钢板治疗Lisfranc骨折脱位早期预后相近,联合治疗存在较多并发症,而良好解剖复位是提升预后的重要因素

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