Treatment of the Lisfranc injury using miniature plate combined with the Kirschner wire

Abstract

Objective To summarize and analyze the clinical effect of miniature plate combined with the Kirschner wire on the Lisfranc injury. Methods From March 2010 to March 2013,22 patients with Lisfranc injury were treated,including 15 male cases and 7 female cases,and their age was from 23 - 62,with an average of 39. 8 years old. The injury causes including traffic accident in 8 cases,high falling in 5 cases,heavy parts in 3 cases,and sport injury in 6 cases. According to the Myerson injury parting,there were 6 cases of type A,7 cases of type B1,4 cases of type B2,3 cases of type C1 and 2 cases of type C2. The time from injury to surgery was 7 - 11 d,with an average of 8. 8 d. And all pa-tients were treated by miniature plate combined with the Kirschner wire. Results All patients were fol-lowed up,and the follow-up time was 10 - 38 months,with the average of（21. 3 ± 6. 25）months. Ac-cording to the AOFAS scoring standard,12 feet were optimal,8 feet were good,2 feet were fair,and the fine rate was 90. 9% . Conclusions The treatment of the Lisfranc injury by miniature plate combined with the Kirschner wire has strong fixation,less complications and satisfactory clinical effect,and it is also beneficial to early functional training. Key words: Lisfranc injury; Miniature plate; Kirschner wire