34-198

Lesiones de la articulación tarso-metatarsiana

Tarsometatarsal joint injuries.

J.M. GÓMEZ CANEDO*, F. FRANCO CASTRO**, C. IRIRARRI CASTRO**, JOSÉ R. TRONCOSO DURÁN** * SERVICIO MÉDICO DE IBERMUTUAMUR. VIGO. ** SERVICIO TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. POLICLÍNICO DE VIGO. POVISA
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008


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Resumen (ES)

We report 16 cases of tarsometatarsal fracture-dislocation.
The purpose of this work was the assessment of the final
outcome of these cases. The etiology was casual or sport injuries
in 6 cases, industrial accidents in 5, traffic accidents in 4 and fall
of a horse in 1 case. The injuries have been classified according
to the Hardcastle modified classification, being 3 cases type A
external, 6 B external, 6 B internal and 1 C total. In most cases
the treatment was open reduction and internal fixation with
Kirschner wires. According to the guidelines of the Baltimore
Painful Foot Score for the evaluation of final outcome, there were
9 excellent results, 4 good, 2 fair and 1 poor. We conclude that
the best results were obtained in those cases with early diagnose
and treatment, looking for an anatomical reduction and fixation
with Kirschner wires.

Palabras clave (ES):

Luxaciones
Lesiones
Fracturas
Cuña
Lisfranc
Tarso-metatarsiana
Articulación
Pie

Resumen (EN)

We report 16 cases of tarsometatarsal fracture-dislocation.
The purpose of this work was the assessment of the final
outcome of these cases. The etiology was casual or sport injuries
in 6 cases, industrial accidents in 5, traffic accidents in 4 and fall
of a horse in 1 case. The injuries have been classified according
to the Hardcastle modified classification, being 3 cases type A
external, 6 B external, 6 B internal and 1 C total. In most cases
the treatment was open reduction and internal fixation with
Kirschner wires. According to the guidelines of the Baltimore
Painful Foot Score for the evaluation of final outcome, there were
9 excellent results, 4 good, 2 fair and 1 poor. We conclude that
the best results were obtained in those cases with early diagnose
and treatment, looking for an anatomical reduction and fixation
with Kirschner wires.

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