Surgical Treatment of Lisfranc Injury With Plantar Plate Approach

Dalal, Deepal H.; Curry, Christian; Carter, Ryan; Zdenek, Colin; Todd, Nicholas W.; Rush, Shannon M.; Jensen, Richard P.

doi:10.1053/j.jfas.2017.11.006

Cited by 7 publications

(6 citation statements)

References 13 publications

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“…However, during postoperative functional exercises, the concentrated load stress of the screw is relatively large, which may easily lead to broken nails and change the reset position, affecting postoperative recovery. The steel plate internal fixation can not only provide reliable fixation but also carry most of the load stress, and it is easier to remove than screws after fracture, which is conducive to the recovery of joint function [ 5 , 27 , 28 ]. The results of the study showed that the total incidence of postoperative complications in the steel plate group was lower than that of the Kirschner wire group and the screw group.…”

Section: Discussionmentioning

confidence: 99%

“…e Lisfranc joints play an important role in connecting the forefoot and midfoot and maintaining the stability of the arch of the foot [1][2][3]. With the rapid development of transportation and construction industry in recent years, the incidence of Lisfranc injury has been increasing year by year, and if not treated in time, it will lead to poor walking, pain in the back of the foot, and even disability in severe cases [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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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%

Section: Introductionmentioning

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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“…45,50 Distinguishing between these diagnoses is of utmost importance because isolated medial cuneiform fractures may be treated conservatively 23,33,35 whereas Lisfranc injuries may result in poor outcomes unless treated surgically. [51][52][53] Note that these articles were largely silent on the presence or absence of clinical findings typically associated with Lisfranc injuries, such as loss of arch height, the plantar ecchymosis sign, or toe gapping. [54][55][56] Although baseline radiographs were commonly occult, they were diagnostic in three of 11 patients.…”

Section: Discussionmentioning

confidence: 99%

Isolated Medial Cuneiform Fractures: A Systematic Search and Qualitative Analysis of Case Studies

Mabry¹,

Patti²,

Ross³

et al. 2021

Journal of the American Podiatric Medical Association

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Background Isolated medial cuneiform fracture is a rare but diagnostically challenging condition. Diagnostic delay in these cases may lead to delays in ideal treatment approaches and prolonged symptoms. An understanding of clinical presentation is needed to expedite diagnosis, facilitate decision making, and guide treatment approach. Methods Case studies/series were searched in four databases until September 2019. Included studies had participants with a history of traumatic closed medial cuneiform fracture. Studies were excluded if the medial cuneiform fractures were open fractures, associated with multitrauma, or associated with dislocation/Lisfranc injury. Three blinded reviewers assessed the methodological quality of the studies, and a qualitative synthesis was performed. Results Ten studies comprising 15 patients were identified. Mean ± SD patient age was 38.0 ± 12.8 years, with 86.7% of reported participants being men. The overall methodological quality was moderate to high, and reporting of the patient selection criteria was poor overall. The most commonly reported clinical symptoms were localized tenderness (60.0%) and edema (53.3%). Direct blow was the most common inciting trauma (46.2%), followed by axial load (30.8%) and avulsion injuries (23.1%). Baseline radiographs were occult in 72.7% of patients; magnetic resonance imaging and computed tomography were the most common diagnostic modalities. Mean ± SD diagnostic delay was 64.7 ± 89.6 days. Conservative management was pursued in 54.5% of patients, with reported resolution of symptoms in 3 to 6 months. Surgical intervention occurred in 45.5% of patients and resulted in functional restoration in 3 to 6 months in all but one patient. Conclusions Initial radiographs for isolated medial cuneiform fractures are frequently occult. Due to expedience and relatively low cost, radiographs are still a viable first-line imaging modality. If clinical concern remains, magnetic resonance imaging may be pursued to minimize diagnostic delay. Conservative management is a viable treatment method, with expected return to full function in 3 to 6 months.

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“…Subcutaneous positions of a dorsal-based plate and screw constructs have been reported to contribute to incisional irritation and symptomatic hardware. 24 When using this plantar-based construct as part of a planovalgus correction, the plantar-medial approach can be used for the flexor digitorum longus harvest, spring ligament repair, and for the midfoot arthrodesis. In addition, a plantar closing wedge osteotomy can be performed to correct midfoot sagittal plane deformity, while preparing the joint surfaces.…”

Section: Discussionmentioning

confidence: 99%

Tibialis Anterior Tendon Partial Release and Plantar Implant Placement for Midfoot Arthrodesis: Technique Tip

Fraser¹,

Miles²,

Doty³

2020

Techniques in Foot &Amp; Ankle Surgery

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Midfoot arthrodesis is generally a reliable and commonly performed operative procedure for deformity correction and pain relief. Biomechanical studies suggest the superior strength of plantar-based plates compared with traditional dorsally placed plates and screws. Multiple structures must be considered when accessing the medial column on the plantar surface, including the saphenous neurovascular bundle and the tibialis anterior tendon insertional footprint. Some skeptics are concerned over possible tibialis tendon rupture after placing plantar-based plates. This novel technique demonstrates the ability to safely apply for plantar plates with no tibialis anterior ruptures.Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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Surgical Treatment of Lisfranc Injury With Plantar Plate Approach

Cited by 7 publications

References 13 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

Isolated Medial Cuneiform Fractures: A Systematic Search and Qualitative Analysis of Case Studies

Tibialis Anterior Tendon Partial Release and Plantar Implant Placement for Midfoot Arthrodesis: Technique Tip

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