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J Korean Soc Fract. 1996 Jul;9(3):715-724. Korean. Original Article.
Kang CN , Kim JO , Ko SH .
Department of Orthopaedic surgery, Ewha Womans University, College of Medicine, Mok-Dong Hospital, Seoul, Korea.

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.

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