Percutaneous Reduction and 2.7-mm Cortical Screw Fixation for Low-Energy Lisfranc Injuries

Park, Young Hwan; Ahn, Jeong Hwan; Choi, Gi Won; Kim, Soo Hyun

doi:10.1053/j.jfas.2019.10.013

Cited by 8 publications

(5 citation statements)

References 24 publications

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“…Once injured, the transverse and longitudinal arch of the foot will often be destroyed. If the treatment is not timely or standardized, the patient will have discomfort in walking, chronic pain, and even forefoot deformity, traumatic arthritis, and other complications, which will have a serious impact on the weight bearing and function of the foot [24][25][26]. At present, a large number of studies have shown that open reduction and internal fixation can achieve good clinical efficacy in the treatment of medial column injury of metatarsal joint.…”

Section: Discussionmentioning

confidence: 99%

Clinical Study on Different Methods of Internal Fixation for Treatment of Lisfranc Joint Injury

Jin

Wang

Zhou

2021

Evidence-Based Complementary and Alternative Medicine

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The Lisfranc joints are mainly used to connect the forefoot and midfoot and maintain the stability of the arch of the foot. It is an important part of the arch of the foot. If the Lisfranc joints injury is not treated in time, it will cause poor walking, pain in the back of the foot, and even deformity or disability of the forefoot. The common treatment method is to select the Kirschner wires, screws, or steel plates for incisional repositioning internal fixation surgery. In our study, we used different materials to perform fixation surgery on Lisfranc joint injury patients. We measured the joint recovery, pain condition, complications, and biomechanical indexes of different groups of patients after the operation. The results of the study showed that compared with Kirschner wire and screw internal fixation, the use of shaped arch bridge-type microsteel plate internal fixation for the treatment of metatarsotarsal joint injury patients has better foot function recovery, fewer complications, and more reliable biomechanical strength.

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Section: Discussionmentioning

confidence: 99%

Clinical Study on Different Methods of Internal Fixation for Treatment of Lisfranc Joint Injury

Jin

Wang

Zhou

2021

Evidence-Based Complementary and Alternative Medicine

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“…Further to the inconsistent radiographic diagnostic criteria observed, there were studies excluded during the literature search because these studies reported radiographic indications for surgery rather than diagnostic criteria [51][52][53]. The decision to exclude these studies was based on the fact that indication for surgery is inherently different from diagnosis criteria.…”

Section: Discussionmentioning

confidence: 99%

Inconsistent radiographic diagnostic criteria for Lisfranc injuries: a systematic review

Seow,

Yasui,

et al. 2023

Preprint

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Purpose To evaluate the radiographic diagnostic criteria and propose standardised radiographic criteria for Lisfranc injuries. Methods A systematic review of the PubMed and Embase databases was performed according to the PRISMA guidelines. The various radiographic criteria for the diagnosis of Lisfranc injuries were extracted. Descriptive statistics were presented for all continuous (as mean ± standard deviation) and categorical variables (as frequencies by percentages). Results The literature search included 29 studies that totalled 1115 Lisfranc injuries. The risk of bias ranged from “Low” to “Moderate” risk according to the ROBINS-I tool. The overall recommendations according to the GRADE assessment ranged from “Very Low” to “High”. 1st metatarsal to 2nd metatarsal diastasis was the most common of the 12 various radiographic diagnostic criteria observed, as was employed in 18 studies. This was followed by 2nd cuneiform to 2nd metatarsal subluxation, as was employed in 11 studies. Conclusion The radiographic diagnostic criteria of Lisfranc injuries were heterogeneous. The proposition for homogenous radiographic diagnostic criteria is that the following features must be observed for the diagnosis of Lisfranc injuries: 1st metatarsal to 2nd metatarsal diastasis on anteroposterior view or 2nd cuneiform to 2nd metatarsal subluxation on anteroposterior or oblique views. Further advanced imaging by CT or MRI may be required in patients with normal radiographs but with continued suspicion for Lisfranc injuries. Level of Evidence: 4, systematic review

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“…A number of various sorts of injuries can affect the tarsometatarsal joint, ranging from low-energy ones with minimal subluxations or instability to high-energy ones with a very unstable mid-foot. Low energy injuries occur most commonly and are usually accompanied by ligamentous Lisfranc injuries as a result of axial, rotational, or twisting injuries, especially during movements such as sprinting, leaping, and twisting the weight-bearing foot [ 36 , 37 , 38 , 39 ]. The Lisfranc ligament, a strong tissue that joins the medial column to the middle column, is the most important interosseous ligament.…”

Section: Discussionmentioning

confidence: 99%

Various Flexible Fixation Techniques Using Suture Button for Ligamentous Lisfranc Injuries: A Review of Surgical Options

Chaudhari

2023

Medicina

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Contrary to Lisfranc joint fracture-dislocation, ligamentous Lisfranc injury can lead to additional instability and arthritis and is difficult to diagnose. Appropriate procedure selection is necessary for a better prognosis. Several surgical methods have recently been introduced. Here, we present three distinct surgical techniques for treating ligamentous Lisfranc employing flexible fixation. First is the “Single Tightrope procedure”, which involves reduction and fixation between the second metatarsal base and the medial cuneiform via making a bone tunnel and inserting Tightrope. Second is the “Dual Tightrope Technique”, which is similar to the “Single Tightrope technique”, with additional fixation of an intercuneiform joint using one MiniLok Quick Anchor Plus. Last but not least, the “internal brace approach” uses the SwiveLock anchor, particularly when intercueniform instability is seen. Each approach has its own advantages and disadvantages in terms of surgical complexity and stability. These flexible fixation methods, on the other hand, are more physiologic and have the potential to lessen the difficulties that have been linked to the use of conventional screws in the past.

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Percutaneous Reduction and 2.7-mm Cortical Screw Fixation for Low-Energy Lisfranc Injuries

Cited by 8 publications

References 24 publications

Clinical Study on Different Methods of Internal Fixation for Treatment of Lisfranc Joint Injury

Clinical Study on Different Methods of Internal Fixation for Treatment of Lisfranc Joint Injury

Inconsistent radiographic diagnostic criteria for Lisfranc injuries: a systematic review

Various Flexible Fixation Techniques Using Suture Button for Ligamentous Lisfranc Injuries: A Review of Surgical Options

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