Arthrodesis or Open Reduction Internal Fixation for Lisfranc Injuries: A Meta-analysis

Levy, Christopher J.; Yatsonsky, David; Moral, Muhammad Z.; Liu, Jiayong; Ebraheim, Nabil A.

doi:10.1177/1938640020971419

Cited by 3 publications

(2 citation statements)

References 34 publications

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“…Clinicians and researchers have evaluated the outcomes of different surgical techniques for Lisfranc injuries; each of these techniques has shown several pros and cons with no definite consensus on superiority for one among others [ 17 ]. A recent meta-analysis by Levy et al suggests that arthrodesis could be a better surgical intervention for patients with Lisfranc injuries, resulting in improved outcomes measured by the American Orthopaedic Foot and Ankle Society ankle-hindfoot score and lower complication rates compared to ORIF [ 18 ]. Furthermore, Buda et al showed that Lisfranc patients treated with ORIF had significantly higher reoperation rates in comparison with those who received PA [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Short-term Follow-up of Patients Receiving Bio-integrative Screws for Lisfranc Injuries: A Case Series

Ebrahimi,

Sohn,

Lucaciu

et al. 2023

jocr

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Introduction: Various methods are used for open reduction and internal fixation of Lisfranc injuries, and each shows different post-treatment outcomes. Other than the common post-surgery problems in these patients, including possible non-anatomical reduction, implant loosening, breakage, and arthritis, most of these patients will undergo a second surgery for implant removal which itself might cause further complications. To reduce the need for re-operation, bio-degradable or bio-integrative implants can be promising; however, the short- and long-term outcomes have been scarcely investigated to date. Case Report: We followed up 10 adult patients who received bio-integrative screws for Lisfranc injuries. The patients were asked to fill out the patient-reported outcome measures (PROMs) surveys during one of the follow-up visits. We gathered variables including the type of injury, pain score, and PROMs including physical function (PF), pain interference, pain intensity, and depression. We evaluated the patients for wound dehiscence, non-union, and hardware failure. The median (interquartile range [IQR]) follow-up time of the patients in this study was 9 (4–11.5) months. Nine out of 10 patients with Lisfranc injuries who received bio-integrative screws showed improvements in their pain scores and started progressive weight-bearing. Among 3 patients who had sport-related Lisfranc injuries, 2 returned to play in <6 months, and one started side-to-side agility work in <3 months. The median (IQR) scores of PROMs representing PF, depression, physical health, mental health, pain interference, and pain intensity were 49.5 (30.1–61.9), 41 (41–49), 50.8 (39.2–57.7), 59 (48.9–63.7), 51.7 (41.6–72.6), and 43.5 (37.8–55.2), respectively. Conclusion: Our results demonstrated promising short-term outcomes of using bio-integrative screws in patients with Lisfranc injuries based on PROMs and the rate of complications. Future studies on larger populations and more comprehensive variables with longer follow-up duration should be the next step in evaluating the pros and cons of these new implants. Keywords: Bio-integrative implant, revision surgery, implant removal, Lisfranc complications.

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Section: Discussionmentioning

confidence: 99%

Short-term Follow-up of Patients Receiving Bio-integrative Screws for Lisfranc Injuries: A Case Series

Ebrahimi,

Sohn,

Lucaciu

et al. 2023

jocr

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“…14,22,26 Recent studies have demonstrated that individuals treated with primary arthrodesis have a much lower rate of additional surgery and comparable or superior patient-reported outcome scores than those treated with ORIF. 1,12,24 Thus, primary arthrodesis is considered an effective surgical management strategy for Lisfranc injuries.…”

Section: Introductionmentioning

confidence: 99%

Kinematic Analysis of Sequential Partial-Midfoot Arthrodesis in Simulated Gait Cadaver Model

et al. 2022

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Background: Primary tarsometatarsal (TMT) arthrodesis is gaining popularity in the surgical treatment of Lisfranc injuries. However, few studies have evaluated biomechanical effects of TMT arthrodesis. The purpose of this study was to compare the kinematics of joints adjacent to the midfoot during simulations of stance before and after sequential arthrodesis of the first, second, and third TMT joints. Methods: Ten midtibia cadaveric specimens were loaded on a 6-degree-of-freedom robotic gait simulator. Motion capture cameras were used to collect joint kinematics throughout simulations of the stance phase. Simulations were performed for the intact and sequential arthrodesis conditions of the first, second, and third TMT joints. The sagittal, coronal, and transverse plane rotational kinematics of the intact condition were compared to kinematics after each sequential arthrodesis condition. Results: Sequential arthrodesis of the first and second TMT joints had no significant effect on ankle, subtalar, talonavicular, and first metatarsophalangeal joint motion during simulated stance when compared to the intact condition. In contrast, inclusion of the third TMT joint into the sequential arthrodesis significantly increased subtalar inversion ( P = .032) in late stance and increased range of motion values in the ankle and subtalar joints by 2.1 degrees ( P = .009) and 2.8 degrees ( P = .014), respectively. Conclusion: Sequential primary arthrodesis induced changes to ankle and adjacent joint kinematics during stance phase simulations, although not until the third TMT joint was included into the primary arthrodesis. The significant changes to kinematics due to arthrodesis of the first, second, and third TMT joints were small. Clinical Relevance: The minimal changes in sagittal, coronal, and transverse plane rotational kinematics support the positive clinical outcomes reported in the literature for primary partial arthrodesis of Lisfranc injuries. The inclusion of the third TMT joint should be done judiciously.

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Factors Influencing PROMIS Scores and Patient Reported Outcomes Following Surgical Intervention of Isolated Lisfranc Injury: Minimum 2 Year Follow-up

Sankey,

Sanchez,

McGee

et al. 2024

The Journal of Foot and Ankle Surgery

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Arthrodesis or Open Reduction Internal Fixation for Lisfranc Injuries: A Meta-analysis

Cited by 3 publications

References 34 publications

Short-term Follow-up of Patients Receiving Bio-integrative Screws for Lisfranc Injuries: A Case Series

Short-term Follow-up of Patients Receiving Bio-integrative Screws for Lisfranc Injuries: A Case Series

Kinematic Analysis of Sequential Partial-Midfoot Arthrodesis in Simulated Gait Cadaver Model

Factors Influencing PROMIS Scores and Patient Reported Outcomes Following Surgical Intervention of Isolated Lisfranc Injury: Minimum 2 Year Follow-up

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