[Surgical treatment of Lisfranc fracture-dislocations by reconstruction of three-column with Kirschner wire fixation].
OBJECTIVE
To explore the effect of reduction and fixation with multi-Kirschner wires for treatment of Lisfranc fracture-dislocations.


METHODS
There were 49 patients (37 male and 12 female aged from 20 to 28 years old) involved in the study. According to the Myserson damage typing, type A in 12 cases, B1 in 3, B2 in 28, C1 in 4 and C2 in 2. Kirschner wires were applied to fix and reconstruct the three-column in three directions according to the structural characteristic of midfoot. Reconstruction of three-column needed not only to reduce and to fix every single column, but also to establish union of the columns.


RESULTS
According to the evaluation of AOFAS for midfoot, 14 cases were excellent (90 to100), 22 cases good (80 to 89), 8 cases fair (70 to 79) and 5 cases poor (60 to 69), with an average score of 84.200+/-9.663.


CONCLUSIONS
The diagnosis and treatment of Lisfranc fracture-dislocations should comply with the theory of three-column reconstruction of foot arch, which can achieve the static balance of biomechanics and provide a stable environment for healing of fracture and soft tissue. Reduction and fixation with multi-Kirschner wires is an effective treatment method for Lisfranc fracture-dislocations.
Zhou
Yong-zhong
YZ
Zhongye Hospital of Shanghai, Shanghai 200941, China.
Wu
Xian-min
XM
Zhang
You-zhong
YZ
D000328:Adult; D001864:Bone Wires; D005260:Female; D005592:Fracture Fixation / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D007596:Joints / Q000293:injuries*; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries*; D008875:Middle Aged; D013639:Tarsal Bones / Q000293:injuries*