Flexible Fixation Technique for Lisfranc Injuries

Delman, Connor; Patel, Midhat; Campbell, Mark; Kreulen, Christopher; Giza, Eric

doi:10.1177/1071100719873271

Cited by 19 publications

(25 citation statements)

References 31 publications

(55 reference statements)

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“…There were no problems encountered in our study with this accelerated postoperative protocol, and all athletes were able to return to full competition level. Similar to previous studies using suture button devices, 4 , 5 , 7 , 9 , 11 , 14 , 19 we did not encounter any wound problems, device loosening, failure of implants, recurrent instabilities, or loss of reduction in our patient group.…”

Section: Discussionsupporting

confidence: 87%

“…We report a return to full weightbearing at 4 weeks postoperatively, compared with 12 weeks in Cho et al 8 and 6 weeks in several other case series using suture button stabilization. 4 , 14 , 19 , 37 Jain et al 19 and Charlton et al, 7 who also used a suture button stabilization system in elite athletes, reported returns to competition of 21 weeks and 26 weeks, respectively. It appears that the larger suture button device used in this series safely allowed earlier weightbearing than previous studies, allowing patients to return to competition much earlier, at 12 to 16 weeks.…”

Section: Discussionmentioning

confidence: 99%

“… 15 , 17 , 23 , 28 , 29 Reduction and fixation can be achieved through percutaneous pinning, screw fixation, suture button fixation, bridge plating, and primary arthrodesis. 14 , 34 In this case series, we report the use of a knotless suture button device made up an oval and circular button connected by 4 strands of No. 2 ultra-high-molecular-weight polyethylene and polyester wire (Knotless TightRope; Arthrex).…”

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confidence: 99%

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Shortening the Return-to-Play Times in Elite Athletes With Unstable Isolated Lisfranc Ligament Injuries Using a Knotless Interosseous Suture Button: Case Series and Literature Review

Sullivan

Peckston

Alpuerto

2022

Orthopaedic Journal of Sports Medicine

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Background: Isolated unstable Lisfranc ligament injuries in elite athletes are associated with a lengthy period of rehabilitation and prolonged absence from competition. Purpose: To assess the efficacy of a knotless, interosseous suture button system for repairing isolated unstable ligamentous Lisfranc injuries and its capacity to allow accelerated rehabilitation with earlier weightbearing and return-to-play times in elite athletes. Study Design: Case series; Level of evidence, 4. Methods: The authors retrospectively reviewed data from a prospectively compiled database for elite athletes treated by a single surgeon. All included patients had clinical and magnetic resonance imaging evidence of an unstable isolated complete ligamentous Lisfranc injury requiring surgical reduction and stabilization. All patients underwent surgery using a knotless interosseous suture button to achieve stabilization, followed by a standardized postoperative regimen involving full weightbearing at 4 weeks, and all had a minimum postoperative follow-up of 2 years. Results: Included were 12 patients: 7 National Rugby League (NRL) players, 2 professional dancers, 1 Olympic gymnast, 1 professional wakeboarder, and 1 professional NRL referee. The mean age of the patients was 21.1 years (range, 16-34 years). Ten patients underwent acute surgical stabilization within 3 weeks of the injury, and 2 patients sustained chronic isolated Lisfranc instability that was initially treated nonoperatively. All athletes were able to return to full weightbearing by 4 weeks postoperatively, successfully returned to training by 9 to 12 weeks, and returned to full competition by 12 to 16 weeks. No major complications were reported. Conclusion: Knotless interosseous suture button stabilization was a reliable treatment option for both acute and chronic isolated ligamentous Lisfranc injuries in these elite athletes. This technique does not require hardware removal, allows early weightbearing with accelerated rehabilitation, and may shorten the return-to-play interval.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Shortening the Return-to-Play Times in Elite Athletes With Unstable Isolated Lisfranc Ligament Injuries Using a Knotless Interosseous Suture Button: Case Series and Literature Review

Sullivan

Peckston

Alpuerto

2022

Orthopaedic Journal of Sports Medicine

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“…The treatment of ligamentous Lisfranc injuries is always a controversial topic in clinics. Various operative strategies had been described such as closed/open reduction and percutaneous puncture with K-wires, open reduction and internal fixation with transarticular screws or plates, and primary arthrodesis [ 3 , 4 , 19 , 20 ]. Each of them had its own defects.…”

Section: Discussionmentioning

confidence: 99%

“…Low energy tarsometatarsal joint damage is often associated with purely ligamentous Lisfranc injuries. It is difficult to diagnose after injury because the position of Lisfranc ligament is deep [ 2 , 3 ]. Up to about 20–40% of ligamentous Lisfranc injuries are either mis-diagnosed or overlooked during initial evaluation [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries

et al. 2021

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Background Purely ligamentous Lisfranc injuries are mainly caused by low energy damage and often require surgical treatment. There are several operative techniques for rigid fixation to solve this problem clinically. This study evaluated the effect of using the Tightrope system to reconstruct the Lisfranc ligament for elastic fixation. Methods We retrospectively analyzed 11 cases with purely ligamentous Lisfranc injuries treated with the Tightrope system from 2016 to 2019, including 8 male and 3 female. X-ray was performed regularly after operation to measure the distance between the first and second metatarsal joint and the visual analogue scale (VAS) score was used to evaluate pain relief. American orthopedic foot & ankle society (AOFAS) and Maryland foot score were recorded at the last follow-up. Results The average follow-up time was 20.5 months (range, 17–24). There was statistically significant difference in the distance between the first and second metatarsal joint and VAS score at 3 months, 6 months, and the last follow-up when compared with preoperative values (P < 0.05).Mean of postoperative AOFAS mid-foot scale and Maryland foot score were 92.4 ± 4.3, 94.1 ± 3.5, respectively. The Tightrope system was not removed and the foot obtained better biomechanical stability. No complications occurred during the operation. Conclusion Tightrope system in the treatment of purely ligamentous Lisfranc injuries can stabilize the tarsometatarsal joint and achieve satisfactory effect.

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Luxationsverletzungen im Lisfranc-Gelenk

Ochman

2024

Orthopädie Und Unfallchirurgie

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Flexible Fixation Technique for Lisfranc Injuries

Cited by 19 publications

References 31 publications

Shortening the Return-to-Play Times in Elite Athletes With Unstable Isolated Lisfranc Ligament Injuries Using a Knotless Interosseous Suture Button: Case Series and Literature Review

Shortening the Return-to-Play Times in Elite Athletes With Unstable Isolated Lisfranc Ligament Injuries Using a Knotless Interosseous Suture Button: Case Series and Literature Review

Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries

Luxationsverletzungen im Lisfranc-Gelenk

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