Evaluation of Functional Outcome and Complications in Bridge Plating Compared to Transarticular Screws for Lisfranc Injuries: A Systematic Review and Meta-analysis

Engelmann, Esmee W.M.; Roelofs, Anne; Posthuma, J. H.; Schepers, Tim

doi:10.1053/j.jfas.2022.03.002

Cited by 7 publications

(5 citation statements)

References 40 publications

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“…7 Similarly, a recent meta-analysis demonstrated dorsal bridge plating of fractures in the Lisfranc joint may lead to better functional outcome compared with transarticular screw fixation alone; however, there was no significant difference in terms of postoperative infection, hardware removal, chronic pain, and secondary arthrodesis. 8 Recently, Cottom et al 9 demonstrated that patients undergoing ORIF using an interosseous suture button technique had adequate patient satisfaction at 3 years; however, there was evidence of Lisfranc diastasis at 3 years postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Lisfranc Open Reduction and Internal Fixation

DeGenova,

Mennona,

Jones

et al. 2024

Journal of Orthopaedic Trauma

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Summary: Lisfranc injuries are an uncommon injury of the midfoot that can occur after a low-energy or high-energy mechanisms. There often a wide spectrum of injury ranging from a sprain to a sever fracture dislocation. Treatment of displaced Lisfranc injuries is often operative with the mainstays of treatment being open reduction and internal fixation versus arthrodesis. We describe a stepwise and reproducible approach of open reduction and internal fixation in a 20-year-old man with a severe Lisfranc fracture dislocation injury. Video available at: https://ota.org/education/ota-online-resources/video-library-procedures-techniques/lisfranc-open-reduction-and.

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Section: Discussionmentioning

confidence: 99%

Lisfranc Open Reduction and Internal Fixation

DeGenova,

Mennona,

Jones

et al. 2024

Journal of Orthopaedic Trauma

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“…Engelmann et al conducted a systematic review comparing functional outcomes and complication rates of transarticular screw fixation and dorsal bridge plating 66 . One prospective and 3 retrospective studies were included and found that functional outcome according to the AOFAS was statistically significantly higher in the bridge plating group (mean difference 7 points), although below the minimum clinically important difference (MCID).…”

Section: Open Reduction and Internal Fixationmentioning

confidence: 99%

Management of Lisfranc Injuries

et al. 2023

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There is a spectrum of midtarsal injuries, ranging from mild midfoot sprains to complex Lisfranc fracture-dislocations.Use of appropriate imaging can reduce patient morbidity, by reducing the number of missed diagnoses and, conversely, avoiding overtreatment. Weight-bearing radiographs are of great value when investigating the so-called subtle Lisfranc injury.Regardless of the operative strategy, anatomical reduction and stable fixation is a prerequisite for a satisfactory outcome in the management of displaced injuries.Fixation device removal is less frequently reported after primary arthrodesis compared with open reduction and internal fixation based on 6 published meta-analyses. However, the indications for further surgery are often unclear, and the evidence of the included studies is of typically low quality. Further high-quality prospective randomized trials with robust cost-effectiveness analyses are required in this area.We have proposed an investigation and treatment algorithm based on the current literature and clinical experience of our trauma center.

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“…Out of total 100 score, a score of 90-100 was regarded as excellent, 75-89 as good, 50-74 as fair and <50 as poor outcome. 10 All the data were entered into Excel master chart and analysis was done using Statistical Package for the Social Sciences (SPSS) 16.0 software. Descriptive statistics was used for the data analysis.…”

Section: Original Research Article Tibial Pilon Fracturesmentioning

confidence: 99%

Clinical characteristics and outcome of tibial pilon fractures treated with open reduction and plating in a tertiary medical college

Das,

Pandey,

Gupta

et al. 2023

JGMC-Nepal

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Introduction: Tibial pilon fracture possess a challenge to achieve optimum outcome because of soft tissue related complications and intra-articular nature of the fracture. Surgical treatments and outcomes vary in literature. The objective of this study was to assess the functional and radiological outcome of tibial pilon fractures treated with open reduction and internal fixation with plate and screws. Methods: This was a descriptive study of retrospective data of displaced tibial pilon fractures treated with open reduction and internal fixation with plate and screws. Functional outcome was assessed by American Orthopaedic Foot and Ankle Society (AOFAS) score and fracture union with plain radiography. Results: There were total of 20 cases of tibial pilon fractures with mean age of 41.4 years (SD±14.36). The mean AOFAS score was 81.60 (range 42-100) at mean follow up of 18.2 months (range 9-48). Good to excellent results was found in 12(60%) and fair results in 6(30%) cases. All the fractures united at mean of 5.8 months (range 5-7). Partial wound dehiscence was seen in 1(5%) case and marginal skin necrosis occurred in 3(15%) of the cases. Conclusions: Current study showed favorable radiological and functional outcome in most of the tibial pilon fractures treated with open reduction and internal fixation with plate and screws with acceptable rate of minor wound related complications

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Evaluation of Functional Outcome and Complications in Bridge Plating Compared to Transarticular Screws for Lisfranc Injuries: A Systematic Review and Meta-analysis

Cited by 7 publications

References 40 publications

Lisfranc Open Reduction and Internal Fixation

Lisfranc Open Reduction and Internal Fixation

Management of Lisfranc Injuries

Clinical characteristics and outcome of tibial pilon fractures treated with open reduction and plating in a tertiary medical college

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