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TightRopeTM Device를 이용한 족근 중족 관절 손상의 치료(1예 보고)

Lisfranc Injury Repair with the TightRopeTM Device (A Case Report)

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초록

Lisfranc injury is complex and difficult to treat. Making the correct diagnosis and achieving an anatomical reduction are important factors in regard to achieving a favorable outcome with this injury. We describe a new technique that we have found to be useful for stabilizing Lisfranc injury. This method is relatively fast and simple, and it provides non-rigid fixation. Also, it eliminates the need for implant removal. To date, we have achieved predictable results for stabilizing and treating this injury with the use of a TightRopeTM Device, instead of traditional interfragmental screw fixation. In this report, we describe a case in which this method was used with satisfactory short-term results.

Abstract

Lisfranc injury is complex and difficult to treat. Making the correct diagnosis and achieving an anatomical reduction are important factors in regard to achieving a favorable outcome with this injury. We describe a new technique that we have found to be useful for stabilizing Lisfranc injury. This method is relatively fast and simple, and it provides non-rigid fixation. Also, it eliminates the need for implant removal. To date, we have achieved predictable results for stabilizing and treating this injury with the use of a TightRopeTM Device, instead of traditional interfragmental screw fixation. In this report, we describe a case in which this method was used with satisfactory short-term results.

참고문헌 (10)

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  3. Kuo RS, "Outcome after open reduction and internal fixation of Lisfranc joint injuries", J Bone Joint Surg Am, 82-A, pp.1609~1618 (2000)
  4. Brin YS, "Lisfranc injury repair with the TightRope device: a short-term case series", Foot Ankle Int, 31, pp.624~627 (2010)
  5. Cottom JM, "Treatment of Lisfranc fracture dislocations with an interosseous suture button technique: a review of 3 cases", J Foot Ankle Surg, 47, pp.250~258 (2008)
  6. "Stabilization of Lisfranc joint injuries: a biomechanical study", Foot Ankle Int, 25, pp.365~370 (2004)
  7. Trevino SG, "Controversies in tarsometatarsal injuries", Orthop Clin North Am, 26, pp.229~238 (1995)
  8. Grass R, "Peroneus longus ligamentoplasty for chronic instability of the distal tibiofibular syndesmosis", Foot Ankle Int, 24, pp.392~397 (2003)
  9. Panchbhavi VK, "Screw fixation compared with suture-button fixation of isolated Lisfranc ligament injuries", J Bone Joint Surg Am, 91, pp.1143~1148 (2009)
  10. Ando A, "Increased expression of metalloproteinase-8 and -13 on articular cartilage in a rat immobilized knee model", Tohoku J Exp Med, 217, pp.271~278 (2009)

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