Hardcastle、Nunleyの分類の両面から比較検討したLisfranc関節損傷 : Lisfranc関節損傷保存治療の限界

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Background: Injuries of the Lisfranc joint are uncommon, and there are dislocation, fracture, ligament damage, etc. The classification of Hardcastle, and the classification of Nunley is widely known for Lisfranc joint dislocation-fracture or ligament damage. However, a clear boundary to the selection of operative or nonoperative treatment was not clear in both situstions. Purpose: The purpose of this paper is to make clear the border of the operative and the nonoperative treatment by using classifications of Nunley and Hardcastle. Cases and Result: Consider medical treatment progress of three different cases from both the classification of Hardcastle, and the classification of Nunley. Document and consideration is added to the result of the examination. Case 1 judged as in the classification TypeB of Hardcastle and the classification Stage I of Nunley took seven weeks for the recovery. The classification was Type C of Hardcastle and Stage I of Nunley in case 2, and 13 weeks were required for the recovery. Although The Case 3, not dislocated and of classification of,classification StageII of Nunley, took seven weeks for the recovery. Conclusion: Even if reposition rank is provided for Stage III by the classification of Nunley, case belong to Type A of Hardcastle, should be treated operatively. The present results, suggest that reposition is provided in Type B and Type C of Hardcastle, and, as for Stage I・II of Newley with detachment bone fractures by the Lisfranc ligament, non'operative treatment is indicated. However, case in which reposition rank is not provided, and the case of Stage III of Nunley must be operated.
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Hardcastle、Nunleyの分類の両面から比較検討したLisfranc関節損傷 : Lisfranc関節損傷保存治療の限界

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