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Objective To report the clinical results of treatment of tarsometatarsal joint injuries by close reduction and percutaneous screw fixation.

目的 探讨应用闭合复位经皮螺钉内固定治疗跖跗关节损伤的临床疗效。

［Objective］To discuss operative methods to treat oboslete fracture dislocation of tarsometatarsal joints.

［目的］探讨陈旧性跖跗关节骨折脱位的手术治疗方法。

To investigate the characteristics and treatment strategy for fresh high energy fracture dislocation of tarsometatarsal joints in a retrospective study.

回顾分析空心螺钉结合克氏针或单纯空心螺钉内固定方法的临床和影像学资料，探讨新鲜高能量跖跗关节骨折脱位的临床特点及治疗策略。

It thus could provide evidences for judging its types and inhabiting behaviors by characteristics of tarsometatarsal morphology of ancient bird.

由此可以为古鸟类依据跗跖骨的形态特征来判断其类型及栖息习性提供依据，同时对研究早期鸟类功能演化起到重要的借鉴作用。

Methods From January 2003 to June 2005, 26 cases of tarsometatarsal joint injuries were treated with close reduction and percutaneous screw fixation.

自2003年1月~2005年6月应用闭合复位经皮螺钉内固定治疗跖跗关节损伤26例。

The diagnosis and management of tarsometatarsal joint injury is compl icated.

临床可根据病史、症状体征，并结合必要的影像学检查对跖跗关节损伤作出诊断。

Tarsometatarsal joint injury ; Diagnosis ; Treatment Internal fixation ; Arthrodes

跖跗关节损伤；诊断；治疗；内固定术；融合术

Traumatic arthritis,which was complicated with injured articular surface.Fresh high?energy fracture dislocation of tarsometatarsal joints can be diagnozed correctly.

结论对新鲜高能量跖跗关节骨折脱位患者采取正确的诊断方法和标准均能确诊。

MethodFrom September 2002 to April 2008,43 patients with fresh high energy fracture dislocation of tarsometatarsal joints were treated with cannulated screw combined with Kirschner wire fixation or Kirschner wire fixation alone.

回顾分析空心螺钉结合克氏针或单纯空心螺钉内固定方法的临床和影像学资料，探讨新鲜高能量跖跗关节骨折脱位的临床特点及治疗策略。

MethodFrom September 2002 to April 2008,43 patients with fresh high energy fracture dislocation of tarsometatarsal joints were treated with cannulated screw combined with Kirschner wire fixation or Kirschner wire fixation alone.

方法2002年9月-2008年4月应用空心螺钉结合克氏针或单纯空心螺钉内固定治疗43例新鲜高能量跖跗关节骨折脱位患者，男35例，女8例；年龄18～55岁，平均37.5岁。

Lugalbanda was a god and shepherd king of Uruk where he was worshipped for over a thousand years.

Lugalbanda 是神和被崇拜了一千年多 Uruk古埃及喜克索王朝国王。

I am coming just now,' and went on perfuming himself with Hunut, then he came and sat.

我来只是现在，'歼灭战perfuming自己与胡努特，那麼，他来到和SAT 。