Efficacy of open reduction and internal fixation with a miniplate and hollow screw in the treatment of Lisfranc injury

Li, Baoliang; Zhao, Wenbo; Liu, Lei; Huang, Fuguo; Wang, Guanglin; Fang, Yue

doi:10.1016/j.cjtee.2014.08.002

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…The result was nearly agreed with the study of Ren et al (9) who reported that he study population consisted of 38 (62.3%) male and 23 (37.7%) female patients, with a mean age of 39.4 (range 19-64) years. While Li et al (10) reported that among 10 cases of Lisfranc injuries, there were 6 (60%) males and 4 (40%) females with mean age 32 years ranging 25-45 years.…”

Section: Discussionmentioning

confidence: 98%

Short Term Assessment of Surgical Treatment of Lisfranc Fracture Dislocation

Holyl

Mohammed

Imam

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Lisfranc fractures are rare injuries, with reported incidence of 0.2% of all fractures and 1/55,000 per year incidence in the population. These are reported to occur 2-4 times more commonly in men, and the peak incidence is in the third decade of life. Objective: This study was aimed to assess the functional outcome of using open reduction and internal fixation in management of ligamentous Lisfranc injuries. Patients and Methods: This prospective operative study was conducted on 18 patients with Displaced Lisfranc injury admitted to the Orthopedic Surgery Department, Faculty of Medicine, Zagazig University, during the period from February 2021 to August 2021. The diagnosis was made by medical history taking, clinical examination and radiological assessment. Results: The mean operation time was 140.0±27.43 minutes with minimum 90 and maximum 200 minutes and mean hospital stay was 4.38±1.33 with minimum 3 and maximum 8 days. The mean healing time 8.38±2.45 with minimum 6 and maximum 16 weeks. The most prevalent complication was infection (22.2%), Transient numbness (5.6%), Delay healing (5.6%), Loss reduction (5.6%) and overall complicated cases were 5 cases 27.8%. Conclusion:It could be concluded that anatomical reduction of Lisfranc injury can be achieved by open reduction and internal fixation with the Kirschner wires (K-wires) and Cannulated Screws.

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Section: Discussionmentioning

confidence: 98%

Short Term Assessment of Surgical Treatment of Lisfranc Fracture Dislocation

Holyl

Mohammed

Imam

et al. 2021

The Egyptian Journal of Hospital Medicine

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“…Miniature steel plates are widely used for the middle foot and have a wide range of indications, good biomechanical properties, and high holding force [14]. The application of type-C3 pilon fracture can x a larger bone mass at the fracture end and reduce the di culty of the surgery.…”

Section: Discussionmentioning

confidence: 99%

Treatment of AO/OTA Type 43-C3 Pilon Fractures with a Combination of Miniplate and Main Plate: A Retrospective Analysis

Zhan,

Yang,

Huai

et al. 2024

Preprint

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Background Type-C3 pilon fracture is a distal tibial fracture with a high disability rate that is difficult to treat and has many postoperative complications. Effective treatment of type-C3 pilon fracture remains an important research focus. This study proposed to treat type-C3 pilon fractures with a miniplate combined with a main plate and compared it with the traditional treatment. Methods This study retrospectively analyzed 64 cases of type-C3 pilon fractures treated at our hospital between June 2018 and June 2022, including a miniature steel plate group (MP group, n = 31) and a traditional treatment group (TT group, n = 33). Hospitalization duration, duration of hand surgery, reduction quality, fracture healing, complications, imaging data, and functional scores of the two groups were analyzed. Results The surgery was completed successfully in both groups, and the average follow-up duration was 16.78 ± 3.27 months. There were no significant differences in the duration of preoperative waiting, hospital stay, and weight-bearing between the two groups (P > 0.05). The duration of surgery was significantly shorter in the MP group than in the TT group (P < 0.05). The quality of fracture reduction and healing at 6 weeks after surgery in the MP group was significantly better than that in the TT group (P < 0.05). There was no significant difference in the visual analog scale scores between the two groups. However, at 6 months postoperatively and at the last follow-up, the American Orthopedic Foot and Ankle Society score and ankle fire activity range of motion were significantly better for those in the TT group. There were two cases of ischemic osteonecrosis, two of poor incision healing, and one of severely poor wound healing in the TT group; however, only one patient in the MP group had poor incision healing. Conclusion The use of miniplates combined with main plates in the treatment of type-C3 pilon fracture has obvious advantages, which simplifies the difficulty of the surgery, reduces the volume of the ankle joint, reduces postoperative complications, and is beneficial to postoperative exercise and ankle function recovery.

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“…These rates are comparable to those in the literature of 0% to 9% superficial infection and 0% to 13% delayed healing. 7,12,13,17,19,25,29,[31][32][33] The majority of patients underwent a subsequent removal of hardware procedure, and 13% of these patients experienced complications after this procedure. Our findings suggest that the use of a single incision with intervals to the TMTJ is a viable way of approaching and visualizing the medial Lisfranc injury, while minimizing soft tissue compromise.…”

Section: Discussionmentioning

confidence: 99%