Lisfranc injury in a 14-year-old patient. A case report and literature review

A. Benjumea-Carrasco, C. Sánchez-Pérez, Francisco de Borja Sobrón-Caminero
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Abstract

We report the case of a 14-year-old girl who experienced a Lisfranc fracture-dislocation while playing sport. The lesion was treated with surgery, consisting of open reduction and internal fixation using cannulated screws and Kirschner wires. After one year of follow-up, the patient has no symptoms and no X-ray evidence of degenerative changes in the midfoot. In our view, the surgical procedure, using rigid fixation for the medial column and the second ray, and a provisional fixation to all other rays, allowed for a satisfactory short-term result in this patient. We have used this case to review the management of this lesion in the pediatric population.
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14岁患者Lisfranc损伤。病例报告及文献复习
我们报告的情况下,14岁的女孩谁经历了Lisfranc骨折脱位,而进行运动。病变采用手术治疗,包括切开复位和使用空心螺钉和克氏针内固定。经过一年的随访,患者没有任何症状,也没有足中部退行性改变的x线证据。在我们看来,手术过程中,对内侧柱和第二线进行刚性固定,并对所有其他射线进行临时固定,可以使该患者获得满意的短期结果。我们用这个病例来回顾在儿科人群中这种病变的处理。
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