中英文字幕：Lisfranc损伤的固定

      Lisfranc关节即跖跗关节，跖跗关节复合体包括组成跖跗关节的骨、关节与韧带等全部结构，跖跗关节参与组成足内侧纵弓（第一跖骨、内侧楔骨）外侧纵弓（第5跖骨、骰骨）和中间横弓（内中外楔骨、骰骨），Lisfranc关节损伤即跖跗关节骨折脱位，为一种广义的关节内损伤。

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Fixation for Lisfranc Injury

Lisfranc损伤的固定

Overview（概述）

This procedure uses screws to repair broken or dislocated bones in the midfoot.

　　本术式用螺钉修复中足的骨折脱位。

Preparation（准备）

The patient is positioned so that the upper portion of the foot is clearly visible to the surgeon. Anesthetic is administered, and the area is cleaned and sterilized.

　　将病人妥善摆放，便于外科医生清晰观察足的背侧。施行麻醉后，术区消洁消毒。

Accessing the Bones（显露骨）

An incision is created along the top of the foot. The tissue is spread to expose the bones of the midfoot.Damaged areas and displaced bone are identified.

　　在足背作一切口，将组织牵开以显露中足的骨头。辨认受损区域和移位的骨头。

Repairing the Damage（修复损伤）

One or more screws are placed to secure the bones of the midfoot. In addition, wires or implants may be used.

　　拧入一枚或多枚螺钉将中足的骨头固定。作为补充，可能需要使用克氏针或植骨。

End of Procedure（手术结束）

The incision is closed with sutures or surgical staples. The foot is bandaged and immobilized in a brace or cast. The screws are typically removed after about twelve weeks of recovery. Full recovery may take several months.

　　切口缝合或用外科皮钉关闭。足用绷带包扎并用支具或石膏制动。通常有康复后约12周将螺钉取出。完全康复可能需要数月。

（胡佰文    译）

相关阅读：

中英文字幕：第一跖趾关节融合术（First Metatarsal-Phalangeal Joint Arthrodesis）

中英文字幕：距骨骨折（Fracture of the Talus）

中英文字幕：糖尿病足（Diabetic Foot）

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