Epidemiological Study on Lisfranc Injuries

Abstract

Objective: To analyze the characteristics of patients with Lisfranc injuries and their associated fractures . Methods: This is a retrospective analysis on 42 patients with Lisfranc injuries hospitalized at Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, between 2006 and 2010. Parameters on patient profile, risk factors, fracture characteristics, data on treatment and acute complications were analyzed . Results: Analysis of 42 cases showed that in our sample, men were more affected than women, with a ratio of 4.25:1. The most frequent trauma mechanism was car accident, followed by motorcycle accident. The most frequent type of injury was isolated lesion type B of Quenu and Kuss classification, representing 50% of cases. The most common fracture on the sample was the second metatarsal bone, with 16 cases, followed by cuboid bone fracture. Among the 42 cases, 17% had exposed fractures and 33 patients presented other associated fractures. The mean time elapsed between the trauma and definitive treatment was 6.7 days, while the mean length of hospital stay was 13.8 days. Six patients presented acute postoperative complications . Conclusion: Lisfranc injuries are more common in men undergoing automobile trauma. The prevalence of associated fractures is a frequent finding and the hospital stay may be longstanding. Level of Evidence IV, Case Series.

Trends in management of adult tarsometatarsal joint injuries in a contemporary Australian context: a nationwide study of claims data over 20 years

“…This coincides with prior literature, and is likely multifactorial in nature. These injuries are likely to be less prevalent in an older population, due to decreased risk-taking and sporting activities 8,22,23 ; additionally, given patient age and the likelihood of pre-existing arthritis, the treating clinician is more likely to opt toward non operative management and delayed arthrodesis, or a primary fusion. 16,[24][25][26] Unfortunately, no specific code exists for TMTJ arthrodesis, and thus an analysis of Lisfranc injuries treated via fusion is outside the scope of this study.…”

Fratura-Luxação De Lisfranc: uma revisão bibliográfica

“…O mecanismo de lesão mais prevalente foi acidente automobilístico, com 35,8% dos casos, seguido por acidentes de motocicleta (33,3%), quedas de altura (23,0%) e acidentes esportivos (7,77%), sendo que destes 16,7% apresentaram traumas diversos. De acordo com a classificação de Quénu e Küss 6 , 43% dos pacientes apresentam lesão do tipo A, 50% do tipo B e 7% do tipo C. O tratamento, dependendo do caso, apresentou um tempo médio de internação de 13,8 dias, variando de 0 a 55 dias19 . fratura de Lisfranc, o mecanismo de trauma desenvolve-se por dois tipos, sendo de alta e baixa energia.…”

“…A lesão do tipo B há uma ruptura isolada que envolve o primeiro metatarso ou os raios menores. O tipo C temse um deslocamento divergente, onde tem-se o deslocamento em direções opostas do primeiro e dos raios menores19 . ://www.nucleodoconhecimento.com.brRC: 36599Disponível em: https://www.nucleodoconhecimento.com.br/saude/fratura-luxacao Esta classificação auxilia na comunicação e comparação de dados, mas não é utilizado para definir tratamento14,22 .…”