Lisfranc Fixation Techniques and Postoperative Functional Outcomes: A Systematic Review

Patient-Reported Outcomes Following Lisfranc Fixation via Articular Bridge Plating Combined With the Suture Tape Ligament Reconstruction Technique

“…8 Philpott et al's meta-analysis showed postoperative scores in bridge plate fixation were superior to transarticular screw fixation with a 5-point mean difference, although limited by small study numbers. 31 Our postoperative results were superior to the pooled mean of 79.2 ± 8.3 for plate fixation in Philpott et al's systematic review. The highest mean AOFAS score for bridge plating was reported by Stern and Assal 36 at 85 (78-92); however, they also had the smallest patient cohort (15 participants).…”

Patient-Reported Outcomes Following Lisfranc Fixation via Articular Bridge Plating Combined With the Suture Tape Ligament Reconstruction Technique

“…8 Philpott et al's meta-analysis showed postoperative scores in bridge plate fixation were superior to transarticular screw fixation with a 5-point mean difference, although limited by small study numbers. 31 Our postoperative results were superior to the pooled mean of 79.2 ± 8.3 for plate fixation in Philpott et al's systematic review. The highest mean AOFAS score for bridge plating was reported by Stern and Assal 36 at 85 (78-92); however, they also had the smallest patient cohort (15 participants).…”

Functional Outcomes of Dorsal Bridge Plating for Lisfranc Injuries With Routine Implant Retention: A Major Trauma Center Experience

“…The AOFAS score has more frequently been used as an outcome measure in the existing literature on this subject. 20 The mean AOFAS score in our patient group was 72.6. Previous reported AOFAS scores after DBP fixation have a range between 63.3 and 85.…”

“…[7][8][9][10][11]14,15 In comparison, the most recent published systematic review of fixation techniques for displaced Lisfranc injuries found a weighted mean AOFAS score of 74.2 6 9.4 for TA screw fixation. 20 It is of interest to contrast our results with other studies that have removed implants as part of their surgical methodology. There have been 2 studies that removed all implants electively.…”

“…7–11,14,15 In comparison, the most recent published systematic review of fixation techniques for displaced Lisfranc injuries found a weighted mean AOFAS score of 74.2 ± 9.4 for TA screw fixation. 20…”

Open Reduction And Internal Fixation of Tarsometatarsal (Lisfranc) Fracture Dislocations—Is Arthrodesis Necessary?

“…Additional factors previously associated with poor outcomes include Myerson A or C type injuries, severe soft tissue injury, greater number of midfoot columns injured, and concomitant extremity injury. 10 In one of the largest single-center cohorts to date, we found open fractures and psychiatric illness portended worse clinical results after the fixation of Lisfranc fracture dislocations. No other patient, fracture, or treatment-related factors were markedly associated with complications.…”

Patient-Reported Outcomes Following Lisfranc Fixation via Articular Bridge Plating Combined With the Suture Tape Ligament Reconstruction Technique

“…8 Philpott et al's meta-analysis showed postoperative scores in bridge plate fixation were superior to transarticular screw fixation with a 5-point mean difference, although limited by small study numbers. 31 Our postoperative results were superior to the pooled mean of 79.2 ± 8.3 for plate fixation in Philpott et al's systematic review. The highest mean AOFAS score for bridge plating was reported by Stern and Assal 36 at 85 (78-92); however, they also had the smallest patient cohort (15 participants).…”

Functional Outcomes of Dorsal Bridge Plating for Lisfranc Injuries With Routine Implant Retention: A Major Trauma Center Experience

“…The AOFAS score has more frequently been used as an outcome measure in the existing literature on this subject. 20 The mean AOFAS score in our patient group was 72.6. Previous reported AOFAS scores after DBP fixation have a range between 63.3 and 85.…”

“…[7][8][9][10][11]14,15 In comparison, the most recent published systematic review of fixation techniques for displaced Lisfranc injuries found a weighted mean AOFAS score of 74.2 6 9.4 for TA screw fixation. 20 It is of interest to contrast our results with other studies that have removed implants as part of their surgical methodology. There have been 2 studies that removed all implants electively.…”

“…7–11,14,15 In comparison, the most recent published systematic review of fixation techniques for displaced Lisfranc injuries found a weighted mean AOFAS score of 74.2 ± 9.4 for TA screw fixation. 20…”

Open Reduction And Internal Fixation of Tarsometatarsal (Lisfranc) Fracture Dislocations—Is Arthrodesis Necessary?

“…Additional factors previously associated with poor outcomes include Myerson A or C type injuries, severe soft tissue injury, greater number of midfoot columns injured, and concomitant extremity injury. 10 In one of the largest single-center cohorts to date, we found open fractures and psychiatric illness portended worse clinical results after the fixation of Lisfranc fracture dislocations. No other patient, fracture, or treatment-related factors were markedly associated with complications.…”

Patient-Reported Outcomes Following Lisfranc Fixation via Articular Bridge Plating Combined With the Suture Tape Ligament Reconstruction Technique

“…8 Philpott et al's meta-analysis showed postoperative scores in bridge plate fixation were superior to transarticular screw fixation with a 5-point mean difference, although limited by small study numbers. 31 Our postoperative results were superior to the pooled mean of 79.2 ± 8.3 for plate fixation in Philpott et al's systematic review. The highest mean AOFAS score for bridge plating was reported by Stern and Assal 36 at 85 (78-92); however, they also had the smallest patient cohort (15 participants).…”

Functional Outcomes of Dorsal Bridge Plating for Lisfranc Injuries With Routine Implant Retention: A Major Trauma Center Experience

“…The AOFAS score has more frequently been used as an outcome measure in the existing literature on this subject. 20 The mean AOFAS score in our patient group was 72.6. Previous reported AOFAS scores after DBP fixation have a range between 63.3 and 85.…”

“…[7][8][9][10][11]14,15 In comparison, the most recent published systematic review of fixation techniques for displaced Lisfranc injuries found a weighted mean AOFAS score of 74.2 6 9.4 for TA screw fixation. 20 It is of interest to contrast our results with other studies that have removed implants as part of their surgical methodology. There have been 2 studies that removed all implants electively.…”

“…7–11,14,15 In comparison, the most recent published systematic review of fixation techniques for displaced Lisfranc injuries found a weighted mean AOFAS score of 74.2 ± 9.4 for TA screw fixation. 20…”

Open Reduction And Internal Fixation of Tarsometatarsal (Lisfranc) Fracture Dislocations—Is Arthrodesis Necessary?

“…Additional factors previously associated with poor outcomes include Myerson A or C type injuries, severe soft tissue injury, greater number of midfoot columns injured, and concomitant extremity injury. 10 In one of the largest single-center cohorts to date, we found open fractures and psychiatric illness portended worse clinical results after the fixation of Lisfranc fracture dislocations. No other patient, fracture, or treatment-related factors were markedly associated with complications.…”