Cannulated screw and Kirschner wire fixation for fracture dislocation of tarsometatarsal joint: anatomic reduction and ankle functional assessment

doi:10.3969/j.issn.2095-4344.2015.31.020

Abstract

Abstract:

BACKGROUND: Closed reduction and internal fixation are mostly used to treat fracture dislocation of tarsometatarsal joint, but cannot obtain satisfactory repair effect. Redisplacement easily appeared after local swelling subsidence. Therefore, open reduction and internal fixation are actively used in the clinic to treat fracture dislocation of tarsometatarsal joint so as to restore foot function and to elevate quality of life.
OBJECTIVE: To explore the clinical effect of open reduction and cannulated screw and Kirschner wire fixation for fracture dislocation of tarsometatarsal joint.
METHODS: A total of 42 patients with fracture dislocation of tarsometatarsal joint in the 88 Hospital of Chinese PLA from September 2012 to September 2013 were selected and were given open reduction and cannulated screw and Kirschner wire fixation. After treatment, the recovery of patients was observed, and ankle hindfoot function was assessed with American Orthopaedic Foot and Ankle Society ankle hindfoot score.
RESULTS AND CONCLUSION: A total of 42 patients were followed up for 1-12 months. American Orthopaedic Foot and Ankle Society ankle hindfoot score results showed that there were excellent in 30 cases, good in 10 cases, and poor in 2 cases, and the 2 patients were subjected to high energy soft tissue injury. 37 patients in 4-6 months after operation started weight-bearing walking. Three patients had mild pain, a certain functional limitation, but could maintain normal walking gait. The remaining two patients complicated with traumatic arthritis, and were unable to do normal weight-bearing walking. These results show that open reduction and cannulated screw and Kirschner wire fixation can achieve good effect of anatomical reduction of fracture dislocation of tarsometatarsal joint, and improve patient’s ankle function.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Dislocations, Internal Fixators, Bone Nails, Follow-Up Studies

CLC Number:

R318

Yang Zhao-xian, Zhao Han-ping. Cannulated screw and Kirschner wire fixation for fracture dislocation of tarsometatarsal joint: anatomic reduction and ankle functional assessment [J]. Chinese Journal of Tissue Engineering Research, 2015, 19(31): 5026-5030.

Figures/Tables 1

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