目的：初步探讨分析Lisfranc损伤伴外踝骨折诊治要点及受伤机制。方法在两家医院，自2013年1月至2014年12月，针对Lisfranc 损伤合并外踝骨折已行内固定手术治疗的病例进行调查研究，并应用美国足踝外科协会（ AOFAS）功能评分系统评分。结果经过长达6～24个月（平均15个月）随访，8例患者骨折及脱位愈合良好， AOFAS评分平均86分。结论在Lisfranc关节损伤中，解剖复位内固定各骨折及脱位能为韧带软组织损伤提供良好的愈合环境，合并同侧外踝骨折为发生率较低的损伤，受伤机制可能为间接暴力。%Objective To study the diagnosis and treating mechanism of Lisfranc injury associated with lateral malleolus fracture. Methods From December 2014 to January 2013 in two hospitals, the curative effects of reduction with internal fixation in all cases with Lisfranc injury associated with lateral malleolus fracture were analyzed retrospectively. The American Orthopaedic Foot and Ankle Society ( AOFAS ) scoring system was applied in the study. Results The results indicated that after follow⁃up study for 6 to 24 months ( average, 15 months) ,the treating effects of fracture and dislocation healing were satisfactory in 8 case,with an average of 86 points in AOFAS score. Conclusion In the case of Lisfranc joint injury,the complete reduction and internal fixa⁃tion of the fracture and dislocation can provide an excellent environment for the healing of the ligament and soft tissue injury. The lateral malleolus fracture associated with Lisfranc injuries is a low incidence of events,its injury mechanism could be caused by indirect force.
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