title: [Surgical treatment of Lisfranc fracture-dislocations by reconstruction of three-column with Kirschner wire fixation].
abstract: 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.
authors.affiliation: Zhongye Hospital of Shanghai, Shanghai 200941, China.
authors.forename: Yong-zhong
authors.initials: YZ
authors.lastname: Zhou
authors.forename: Xian-min
authors.initials: XM
authors.lastname: Wu
authors.forename: You-zhong
authors.initials: YZ
authors.lastname: Zhang
mesh_terms: 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*