Journal List > J Korean Soc Fract > v.9(3) > 1078426

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Kang, Kim, and Ko: Treatment of Fracture-Dislocation of Tarsometatarsal Joint
Original Article

Journal of the Korean Society of Fractures 1996; 9(3): 715-724.

Published online: 5 July 2016

DOI: https://doi.org/10.12671/jksf.1996.9.3.715

Treatment of Fracture-Dislocation of Tarsometatarsal Joint

Chung-Nam Kang, Jong-Oh Kim, Sang-Hun Ko

Department of Orthopaedic surgery, Ewha Womans University, College of Medicine, Mok-Dong Hospital, Seoul, Korea.

Copyright © The Korean Fracture Society

Abstract

The tarsometatarsal fracture-dislocation are unusual freguency. Lesion in this area are generally the result of a high energy traulna and difficult to recognize on standard radiographs. Twenty-one casei of fracture and dislocation of the tarsometatarsal joint were treated by open or closed reduction from January 1991 to April 1996. We assessed clnical result & treatment result and the following results were obtained.
1. Anatomical reduction is likely to lead nearly normal function & little complications.
2. Due to soft tissue interposition, espicially interposition of tibialis anterior, and marked articular comminution, early closed reduction was failed in 3 cases. If the closed reduction is tossed, then open reduction and internal fixation was performed.
3. In cases of nearly anatomical reduction, good prognosis was obtained.
4. Accurate accessment of AP & oblique & lateral projection of radiographs were very adventa geous & important.
5. Open anatomical reduction was superior to closed reduction & percataneous pining & cast immobilization alone.

Keywords: Tarsometatarsal joint, Fracture-dislocation, Treatment

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