Tarso-metatarsal injuries are rare but frequently missed. Due to the large variation in pathomorphic forms of these injuries, great precision is required when carrying out clinical and X-ray diagnostic procedures. The aim of the study was to describe the different forms of Lisfranc joint injuries and analyse the causes of delayed treatment. The treatment results of acute and chronic injuries were compared in 41 patients, with an average follow-up period of 16 years. Statistically significant poorer results were obtained in the group of chronic cases, based on two functional scores - the AOFAS evaluation questionnaire and the Lublin functional questionnaire. The main factor delaying the start of the proper treatment was diagnostic error during initial admission. The best results were achieved after closed reduction and percutaneous Kirschner wire fixation in acute cases.

译文

:躯干部颅骨损伤很少见,但经常被遗漏。由于这些伤害的病态形式差异很大,因此在执行临床和X射线诊断程序时需要很高的精确度。该研究的目的是描述Lisfranc关节损伤的不同形式,并分析延迟治疗的原因。比较了41例急性和慢性损伤的治疗结果,平均随访时间为16年。基于两个功能评分-AOFAS评估问卷和Lublin功能问卷,在慢性病例组中获得了统计学上较差的结果。延迟开始适当治疗的主要因素是初次入院时的诊断错误。在急性病例中,经闭合复位和经皮克氏针固定后,可获得最佳结果。

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