InternalBrace has biomechanical properties comparable to suture button but less rigid than screw in ligamentous lisfranc model

Hopkins, J.; Nguyen, Kevin; Heyrani, Nasser; Shelton, Trevor J.; Kreulen, Christopher; Garcia-Nolen, Tanya; Christiansen, Blaine A.; Giza, Eric

doi:10.1016/j.jor.2019.06.020

Cited by 11 publications

(11 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 In a biomechanical model comparing screw, suture button, and Internal-Brace, Hopkins et al demonstrated comparable mechanical properties between the InternalBrace and suture button. 9 These findings and the clinical outcomes reported in the present study demonstrate that the InternalBrace can be a successful flexible fixation option for patients with Lisfranc injuries.…”

Section: Discussionsupporting

confidence: 72%

“…7 It offers potential advantages to other ORIF techniques, including avoidance of a second procedure for device removal, collagen ingrowth, reduced iatrogenic cartilage damage, and avoidance of irritation to the tibialis anterior tendon. 7,9 A recent biomechanical study found the InternalBrace to be comparable in stability to transarticular crossed screws. 10 Albeit, since it was approved by the Food and Drug Administration (FDA) in 2019, there are no clinical data reported for patients who underwent ORIF with this device.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes of Lisfranc Injuries Treated with a New Flexible Fixation Technique: A Retrospective Case Series

Hoskins,

Staub,

Martinazzi

et al. 2023

SurgiColl

View full text Add to dashboard Cite

Objectives Ligamentous Lisfranc injuries are devastating injuries that can lead to complications and difficulty returning to work and sports. Controversy exists over the preferred method of treatment for purely ligamentous injuries. The study aims to evaluate early postoperative complications and time to return to work/play in patients with ligamentous Lisfranc injuries who underwent ORIF using flexible fixation. Methods A retrospective chart review was performed on nine patients who underwent ORIF with flexible fixation using the InternalBrace (Arthrex Naples, FL) for ligamentous Lisfranc injuries. Patients were evaluated at 2- weeks, 6- weeks, and 12- weeks postoperatively with radiographs at 6- weeks, 12- weeks, and 24- weeks postoperatively. Results The average follow-up time was 6.6 months (SD = 5.1), the average time to unrestricted weight-bearing was 6.8 weeks (n=9), and the average time to return to work/sport as tolerated was 14.3 weeks (n=7). The only complication noted at the 2-week follow-up was hypersensitivity along the foot [1 (11%)], resolved by the 12-week follow-up. No radiographic hardware complications were noted at either 6-week or 12-week postoperative x-rays. Conclusions Flexible fixation using the InternalBrace (Arthrex, Naples, FL) is an effective procedure for patients with ligamentous Lisfranc injuries. The present study found no early postoperative complications, and the time to return to work/sport was comparable to other methods of ORIF reported in the literature.

show abstract

Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Outcomes of Lisfranc Injuries Treated with a New Flexible Fixation Technique: A Retrospective Case Series

Hoskins,

Staub,

Martinazzi

et al. 2023

SurgiColl

View full text Add to dashboard Cite

show abstract

“…1,4,19 In a sawbone model, Hopkins et al demonstrated comparable biomechanical properties of the suture button and InternalBrace. 9 A potential advantage of the InternalBrace is a reduction in iatrogenic damage to the articular surface by using a 1.6-mm K-wire compared with the 2.7- to 3.5-mm drill bit used in the suture button technique. Additional benefits include collagen ingrowth and the avoidance of irritation to the tibialis anterior tendon by using an interference screw that is flush with the cortical surface.…”

Section: Discussionmentioning

confidence: 99%

Flexible Fixation Technique for Lisfranc Injuries

et al. 2019

Self Cite

View full text Add to dashboard Cite

Injuries to the Lisfranc complex range from purely ligamentous disruptions to fracture-dislocations of the tarsometatarsal joint. Treatment options include closed/open reduction with percutaneous pinning, open reduction and internal fixation (ORIF), and primary arthrodesis. We present a ligament reinforcement technique utilizing a flexible fixation device for the treatment of ligamentous Lisfranc injuries. Level of Evidence: Level V, expert opinion.

show abstract

“…However, during cyclic loading, the InternalBrace has shown suitable anatomical xation properties and provides load-bearing protection [30] . In clinical surgery, for Lisfranc injuries with comminuted fractures of the base of the rst and second metatarsals, both the use of headless compression screws and the suture button technique can only be used as single-plane xation.…”

Section: Discussionmentioning

confidence: 99%

InternalBrace Fixation Technique for Lisfranc Injury:A Retrospective Study

Zeng,

Huang,

Cai

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Lisfranc ligament is an important structure to maintain the transverse and longitudinal arch of the foot, due to the inherent fretting between the medial cuneiform bone and the base of the 2nd metatarsal bone, the current preferred fixation method remains controversial. Our study aimed to evaluate the InternalBrace fixation technique for Lisfranc injury. Methods A total of 58 patients who underwent InternalBrace fixation technique for Lisfranc injury from January 2019 to September 2022 through a retrospective study. Preoperative classification was performed according to Myerson classification system with imaging data. Postoperative follow-up was performed according to fracture healing time, visual analog scores(VAS), the American Orthopedic Foot and Ankle Society (AOFAS), Tegner scores and complications. Results All cases completed the operation successfully and obtained follow-up. The patients age ranged from 19 to 62 years (34.6 ± 9.4 years on average). The postoperative follow-up time was 12–24 months (16.9 ± 3.0 months on average). During the follow up period, no recurrence of lisfranc fracture-dislocations. The VAS, AOFAS and Tegner scores significantly improved as time went postoperatively, which proved statistically significant (P < 0.01), and the good rates of AOFAS was 91.4%. The postoperative complications were 1 case of traumatic arthritis, 1 case of incision infection and 1 case of temporary dorsal foot numbness. Conclusions InternalBrace fixation technique for Lisfranc injury that is benifical to restore lisfranc joint stability and function, allow earlier return to activities with fewer surgical complications.

show abstract

InternalBrace has biomechanical properties comparable to suture button but less rigid than screw in ligamentous lisfranc model

Cited by 11 publications

References 23 publications

Outcomes of Lisfranc Injuries Treated with a New Flexible Fixation Technique: A Retrospective Case Series

Outcomes of Lisfranc Injuries Treated with a New Flexible Fixation Technique: A Retrospective Case Series

Flexible Fixation Technique for Lisfranc Injuries

InternalBrace Fixation Technique for Lisfranc Injury:A Retrospective Study

Contact Info

Product

Resources

About