Lisfrank Kirikli Çikiklarinda Anatomik Redüksiyon ve Tespit Sonuçlarimiz Results Of Lisfranc Fractures Treated With Anatomical Reduction And Fixation

Amac: Calismamizda stabil olmayan lisfrank kiriklarinda anatomik reduksiyon ve fiksasyonun kisa donem sonuclarini degerlendirmeyi amacladik. Gerec ve yontemler: 2009-2012 yillari arasinda stabil olmayan lisfrank eklemi kirigi ile klinigimizde anatomik reduksiyon ve fiksasyon ile tedavi edilmis 15 hasta retrospektif olarak degerlendirildi. Klinik degerlendirmeler AOFAS skoru ve Maryland ayak skoru, radyolojik degerlendirme standart on-arka, yan ve oblik grafilerde kaynamama, reduksiyon kalitesi ve postravmatik artroz arastirilarak yapildi. Bulgular: Ortalama takip suresi 23 ay (12-46) ve 42 (2064) idi. Ortalama AOFAS skoru 81,7±7,3 puan ve Maryland ayak skoru 82,6 ±7,5 idi. Uc hastada (%20) postravmatik osteoartrit gelisti. Sonuc: Lisfrank eklemi kiriklarinda anatomik reduksiyon ve stabil bir fiksasyon ile kisa donemde iyi klinik ve radyolojik sonuc elde edilebilecegini dusunuyoruz. Anahtar kelimeler: Lisfrank eklemi, kirik, anatomik reduksiyon 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.

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