Clinical and Radiological Outcomes after Open Reduction and Internal Fixation of Lisfranc Injuries: A Single Centre Experience.

Clinical outcomes dorsal bridging plate joint preserving surgery lisfranc injury open reduction and internal fixation radiological outcome results single-center study

Journal

Indian journal of orthopaedics
ISSN: 0019-5413
Titre abrégé: Indian J Orthop
Pays: Switzerland
ID NLM: 0137736

Informations de publication

Date de publication:
Sep 2020
Historique:
entrez: 28 8 2020
pubmed: 28 8 2020
medline: 28 8 2020
Statut: epublish

Résumé

Lisfranc injuries are uncommon and can be challenging to manage. There is considerable variation in opinion regarding the mode of operative treatment of these injuries, with some studies preferring primary arthrodesis over traditional open reduction and internal fixation (ORIF). We aim to assess the clinical and radiological outcomes of the patients treated with ORIF in our unit. This is a retrospective study, in which all 27 consecutive patients treated with ORIF between June 2013 and October 2018 by one surgeon were included with an average followup of 2.4 years. All patients underwent ORIF with joint-sparing surgery by a dorsal bridging plate (DBP) for the second and third tarsometatarsal (TMT) joint, and the first TMT joint was fixed with transarticular screws. Patients had clinical examination and radiological assessment and completed American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score and Foot Function Index (FFI) questionnaires. Our early results of 22 patients (5 lost to followup) showed that 16 (72%) patients were pain free, walking normally without aids, and wearing normal shoes and 68% were able to run or play sports. The mean AOFAS midfoot score was 78.1 (63-100) and the average FFI was 19.5 (0.6-34). Radiological assessment confirmed that only three patients had progression to posttraumatic arthritis at the TMT joints though only one of these was clinically symptomatic. Good clinical and radiological outcomes can be achieved by ORIF in lisfranc injuries with joint-sparing surgery using DBP.

Sections du résumé

BACKGROUND BACKGROUND
Lisfranc injuries are uncommon and can be challenging to manage. There is considerable variation in opinion regarding the mode of operative treatment of these injuries, with some studies preferring primary arthrodesis over traditional open reduction and internal fixation (ORIF). We aim to assess the clinical and radiological outcomes of the patients treated with ORIF in our unit.
MATERIALS AND METHODS METHODS
This is a retrospective study, in which all 27 consecutive patients treated with ORIF between June 2013 and October 2018 by one surgeon were included with an average followup of 2.4 years. All patients underwent ORIF with joint-sparing surgery by a dorsal bridging plate (DBP) for the second and third tarsometatarsal (TMT) joint, and the first TMT joint was fixed with transarticular screws. Patients had clinical examination and radiological assessment and completed American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score and Foot Function Index (FFI) questionnaires.
RESULTS RESULTS
Our early results of 22 patients (5 lost to followup) showed that 16 (72%) patients were pain free, walking normally without aids, and wearing normal shoes and 68% were able to run or play sports. The mean AOFAS midfoot score was 78.1 (63-100) and the average FFI was 19.5 (0.6-34). Radiological assessment confirmed that only three patients had progression to posttraumatic arthritis at the TMT joints though only one of these was clinically symptomatic.
CONCLUSION CONCLUSIONS
Good clinical and radiological outcomes can be achieved by ORIF in lisfranc injuries with joint-sparing surgery using DBP.

Identifiants

pubmed: 32850021
doi: 10.1007/s43465-020-00066-x
pii: 66
pmc: PMC7429666
doi:

Types de publication

Journal Article

Langues

eng

Pagination

587-593

Informations de copyright

© Indian Orthopaedics Association 2020.

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Auteurs

Sandeep Kohli (S)

Department of Orthopaedics, Kings College Hospital NHS Foundation Trust, Princess Royal University Hospital, London, UK.
Grovelands, Woodlands Road, Bromley, BR1 2AD UK.

Delukshan Srikantharajah (D)

Department of Orthopaedics, Greenwich and Lewisham NHS Trust, Queen Elizabeth Hospital, London, Greater London UK.

Sunil Bajaj (S)

Department of Orthopaedics, Greenwich and Lewisham NHS Trust, Queen Elizabeth Hospital, London, Greater London UK.

Classifications MeSH