Lisfranc Injury: ORIF vs Primary Arthrodesis for Pure Ligamentous Injuries

Clarke, Daine O

doi:10.15406/mojor.2017.07.00270

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…The high-stress regions suggest that there might need to be a second intercuneiform screw, which is seen in procedures by some researchers and clinicians. 37 The key limitation of this study was the fact that only a single anatomy was used in the computational model. While this did allow for a comparable anatomy across the different procedures, it did not consider how results may differ depending on the subject.…”

Section: Discussionmentioning

confidence: 99%

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Computational analysis of Lisfranc surgical repairs

Perez

Owen

Adelaar

et al. 2022

Journal Orthopaedic Research

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Ligamentous Lisfranc injuries cause debilitating pain and loss of function. Even small diastasis of this normally rigid joint after injury requires surgical treatment, but outcomes remain poor. Existing literature has compared the different surgical procedures using cadaveric models, but no approach has been recommended over others. This study uses a computational biomechanical approach consistent with a cadaveric study to evaluate the different procedures' ability to stabilize the Lisfranc joint without inducing secondary consequences. A validated rigid body model for the cadaver foot with a Lisfranc injury was extended to compare the stability of four different surgical repairs-three open reduction and internal fixation procedures with different hardware (cannulated screws, endobuttons, and screws with a dorsal plate) and primary arthrodesis with screws. Forces calculated from the rigid body model for

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Section: Discussionmentioning

confidence: 99%

“…The stress contours showed the intercuneiform screw experiencing the highest stress values which were close to the yield strength for titanium. The high‐stress regions suggest that there might need to be a second intercuneiform screw, which is seen in procedures by some researchers and clinicians 37 …”

Section: Discussionmentioning

confidence: 99%