Lisfrank Kırıklı Çıkıklarında Anatomik Redüksiyon ve Tespit Sonuçlarımız

Öz

Amaç: Çalışmamızda stabil olmayan lisfrank kırıklarındaanatomik redüksiyon ve fiksasyonun kısa dönem sonuçlarınıdeğerlendirmeyi amaçladık.

Gereç ve yöntemler: 2009-2012 yılları arasında stabilolmayan lisfrank eklemi kırığı ile kliniğimizde anatomikredüksiyon ve fiksasyon ile tedavi edilmiş 15 hastaretrospektif olarak değerlendirildi. Klinik değerlendirmeler AOFAS skoru ve Maryland ayak skoru, radyolojikdeğerlendirme standart ön-arka, yan ve oblik grafilerdekaynamama, redüksiyon kalitesi ve postravmatik artrozaraştırılarak yapıldı.

Bulgular: Ortalama takip süresi 23 ay (12-46) ve 42 (20-64) idi. Ortalama AOFAS skoru 81,7±7,3 puan ve Maryland ayak skoru 82,6 ±7,5 idi. Üç hastada (%20) postravmatikosteoartrit gelişti.

Sonuç: Lisfrank eklemi kırıklarında anatomik redüksiyon vestabil bir fiksasyon ile kısa dönemde iyi klinik ve radyolojiksonuç elde edilebileceğini düşünüyoruz.

Anahtar Kelimeler

• Lisfrank eklemi
• kırık
• anatomik redüksiyon

Results Of Lisfranc Fractures Treated With Anatomical Reduction And Fixation

Abstract

Introduction: We aimed to investigate the early results of anatomic reduction and fixation of unstable lisfranc fractures.Materials and methods: The results of fifteen patients who have been diagnosed to have unstable lisfranc fracture and have been treated with with anatomical reduction and fixation in our clinic between years 2009 and 2012 were evaluated retrospectively. AOFAS and Maryland foot scores were used for clinical evaluation. Radiological assesment was conducted using standardized anteroposterior lateral and oblique radiographs for non-union, quality of reduction and posttraumatic arthrosis.Results: The mean follow-up time was 23 months (12-46) and median age was 42 (20-64). The mean AOFAS was 81,7±7,3 and Maryland foot score was 82,6 ±7,5.Postttraumatic osteoarthritis was determined in three (20%) patients.Conclusion: We think that better clinical and radiological results can be achieved with anatomical reduction and stable fixation in lisfranc joint fractures in the earlier periods.

Keywords

• Lisfranc joint
• fracture
• anatomical reduction

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