Severe open Lisfranc injuries: one-stage operation through internal fixation associated with vacuum sealing drainage

This study aimed to investigate the clinical feasibility of treating severe open Lisfranc injuries by means of one-stage internal fixation with k-wires associated with vacuum sealing drainage (VSD). The clinical outcomes of 20 cases of severe open Lisfranc joint fracture-dislocation treated by using...

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Veröffentlicht in:Journal of orthopaedic surgery and research 2016-11, Vol.11 (1), p.134-134, Article 134
Hauptverfasser: Qu, Wenqing, Ni, Shuqin, Wang, Zhenhai, Zhao, Yong, Zhang, Shimin, Cheng, Yiheng, Liu, Tong, Yu, Min, Wang, Dan
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container_end_page 134
container_issue 1
container_start_page 134
container_title Journal of orthopaedic surgery and research
container_volume 11
creator Qu, Wenqing
Ni, Shuqin
Wang, Zhenhai
Zhao, Yong
Zhang, Shimin
Cheng, Yiheng
Liu, Tong
Yu, Min
Wang, Dan
description This study aimed to investigate the clinical feasibility of treating severe open Lisfranc injuries by means of one-stage internal fixation with k-wires associated with vacuum sealing drainage (VSD). The clinical outcomes of 20 cases of severe open Lisfranc joint fracture-dislocation treated by using one-stage internal fixation with k-wires associated with VSD, after debridement and suturing during emergency treatment, were reviewed. At 6 and 12 months after surgery, the American Orthopaedic Foot and Ankle Society midfoot scores were 69.2 and 78.2, the positive rates were 75 and 85 %, and the average visual analogue scale scores were 4.3 and 1.3, respectively. The average time of internal fixation surgery was 47 min (30-70 min). There were three cases of wound-edge necrosis; however, there were no cases of skin necrosis around the incision, or deep infection. The mean time of first hospital stay was 16.1 days (10-23 days). Treatment of severe open Lisfranc fracture and dislocation through one-stage internal fixation with k-wires in association with VSD led to fast anatomical reduction, stabilized bony structure, fast soft tissue recovery, and good short-term follow-up results.
doi_str_mv 10.1186/s13018-016-0471-1
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subjects Adult
Aged
Debridement - methods
Drainage - methods
Feasibility Studies
Female
Foot Injuries - surgery
Fracture Fixation, Internal
Fractures, Open - surgery
Humans
Joint Dislocations - surgery
Length of Stay
Male
Middle Aged
Negative-Pressure Wound Therapy - methods
Operative Time
Orthopedics
Treatment Outcome
Wound Closure Techniques
Young Adult
title Severe open Lisfranc injuries: one-stage operation through internal fixation associated with vacuum sealing drainage
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