The Effect Analysis After Operation Of Lisfranc Joint Injuries

Objective:Lisf ranc injuries are named after Jacques Lisfranc who first introduced the experience of amputation through the trasometatarsal joint.These injuries can be purely ligamentous or involve the osseous structures in the foot,and are relatively rare,account for 0.02 percent of all fractures,but the ligh level of miss diagnosis,thecomplexity of the topography of midfoot,diversity of injuries mechanism add to the difficulty of accurate diagnosis and optimal chose of treatment. To investigate the diagnosis and t reatment of Lisf ranc injuries and factors t hat affect outcome.raise the treatment level of the local site.Methods:We performed a retrospective study of 47 patients with a trasometatarsal joint injury treated between 2005-2and 2013-8.About 36 patients is man,11 patients is female.Age is 20-63yeas. The surgical met hods,clinical effect s and complications of 47patients wit h Lisf ranc injury were analyzed ret rospectively. Injuries were classified Myerson classification,included 9 A-type,31B-type,7 C-type.Results:47cases were followed up for 24 to 48 months, with the average 28 months.42 patients were anatomical rduction,5 patients were function rduction. Complications were infection in 1case,Kirschner wire loosening in 4 cases,post-traumatic arthritis in 2 cases.When evaluated by Maryland Foot Score the excellent results occurred in 14 injuries(29.8%).good in 24(51.1%). Fair in 9(19.1%), with excellent and good rate of 80.9%.Conclusion:The therapeutic effect of ORIF for Lisfrance injury is superiority.Anatomical reduction and stable fixation are t he key to obtain a good prognosis of Lisfranc injury...