Verletzungen der Fußwurzel und des Mittelfußes

Randt, Thorsten; Schikore, H.; Dahlen, C.; Zwipp, H.

doi:10.1007/s001130050361

Cited by 10 publications

(11 citation statements)

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“…9,14,20,21 The results of the different scoring systems in our study are comparable to other studies. 11, 25 We could not find significant statistical differences in AOFAS score for different age and gender.…”

Section: Discussionsupporting

confidence: 87%

“…4,21 In the delayed setting, the surgical correction of the length and shape of the longitudinal arch is important and technically challenging, especially in combined Chopart-Lisfranc fracture-dislocations. 5,14,21 For describing reduction and fixation techniques, the column theory is useful. The medial column includes the navicular, medial cuneiform, and first metatarsal; the middle column includes the second and third metatarsals and cuneiforms; and the lateral column consists of the calcaneus, cuboid, and fourth and fifth metatarsals.…”

Section: Introductionmentioning

confidence: 99%

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Chopart Joint Fracture-Dislocation: Initial Open Reduction Provides Better Outcome than Closed Reduction

Richter

Thermann²,

Huefner

et al. 2004

Foot Ankle Int.

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Injury cause, treatment, and long-term results [American Orthopaedic Foot and Ankle Society (AOFAS) Midfoot Score, Hannover Scoring System, Hannover Outcome Questionnaire] of patients with Chopart joint dislocations or fracture-dislocations were evaluated. Between 1972 and 1997, 100 patients with 110 Chopart joint dislocations were treated in the authors' institution. Pure Chopart joint dislocations were observed in 28 (25%) feet, fracture-dislocations in 60 (55%) feet, and combined Chopart-Lisfranc joint fracture-dislocations in 22 (20%) feet. The primary treatment was operative in 91 (83%) feet and nonoperative in 19 (17%) feet. Sixty-five (65%) patients had follow-up after an average of 9 years (range, 2-25 years). The mean scores of the entire follow-up group were: AOFAS score, 75 points; Hannover Scoring System, 69 points (maximium possible score = 100 points); Hannover Outcome Questionnaire, 68 points (maximium possible score = 100 points). There were no differences between the scores for pure dislocations or fracture-dislocations of the Chopart joint, but significantly lower scores were noted with combined Chopart-Lisfranc joint fracture-dislocations. In all three injury pattern groups, an initial anatomic reduction was essential for good results. The high functional restrictions in Chopart dislocations can most likely be minimized with initial open reduction, especially in fracture-dislocations. A closed reduction yielded good results only with pure dislocations, when anatomic conditions could be restored, or if there were contraindications to surgery.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Chopart Joint Fracture-Dislocation: Initial Open Reduction Provides Better Outcome than Closed Reduction

Richter

Thermann²,

Huefner

et al. 2004

Foot Ankle Int.

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“…Schwere Quetschverletzungen und Überrolltraumen des Fußes gehen dabei fast regelmäßig mit einem Kompartmentsyndrom einher [17]. Monströse Schwellungen erschweren die geschlossene Reposition und ordnungsgemäße Retention.…”

Section: Diskussion Klassifikation Der Talusfrakturen Und Talusluxatiunclassified

“…Das Nichterkennen eines drohenden Kompartmentsyndroms führt über eine ischämische Muskelkontraktur zur Fußdeformität [22]. Bei starkem primärem Weichteilschaden sollte während der Operation auf die Blutsperre verzichtet, eine Dermatofasziotomie durchgeführt, die Haut nicht verschlossen und der Defekt zunächst mit Kunsthaut gedeckt werden [17].…”

Section: Diskussion Klassifikation Der Talusfrakturen Und Talusluxatiunclassified

Die Behandlung der seltenen Talusluxationsfrakturen Analyse von 23 Verletzungen

Besch¹,

Drost²,

Egbers³

2002

Unfallchirurg

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“…Klassischerweise kommt es durch massive Intrusion des Fahrgastraums zu komplexen Verletzungen durch Verwringung der Füße zwischen der Pedalerie (Scheunert, pers. Mitteilung).Weitere 40% aller komplexen Fuß-verletzungen entstehen durch massive axiale Gewalteinwirkung nach Sturz aus großer Höhe [7,8,11].…”

unclassified

Sp�trekonstruktionen nach Frakturen im Fu�bereich

Haase¹,

Richter²

2001

Trauma und Berufskrankheit

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Verletzungen der Fußwurzel und des Mittelfußes

Cited by 10 publications

References 0 publications

Chopart Joint Fracture-Dislocation: Initial Open Reduction Provides Better Outcome than Closed Reduction

Chopart Joint Fracture-Dislocation: Initial Open Reduction Provides Better Outcome than Closed Reduction

Die Behandlung der seltenen Talusluxationsfrakturen Analyse von 23 Verletzungen

Sp�trekonstruktionen nach Frakturen im Fu�bereich

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