Lisfranc Fixation Techniques and Postoperative Functional Outcomes: A Systematic Review

A Systematic Review of Outcomes Following Lisfranc Injury Fixation: Removal vs Retention of Metalwork

“…15 Robust comparison of patient outcomes, complication rates, return to work, return to sport, rates of secondary osteoarthritis, and cost effectiveness of routine metalwork removal vs retention is greatly needed to improve our understanding and standards of care of these injuries. The modern trend toward use of bridging plates 27 , 31 was not examined in this study but method of fixation is a key variable that needs to be controlled for in future analyses.…”

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

“…16 Although literature to date suggests a positive role for the use of DBP fixation in the treatment of displaced Lisfranc injuries, recent comprehensive reviews on current concepts clearly highlight the need to expand the evidence base. [17][18][19][20] We present the largest case series to date of the surgical fixation of displaced Lisfranc injuries with DBPs and the first in which the treatment intention involves routine retention of internal fixation. The primary aim of this study was to assess medium-term patient-reported functional outcomes in this patient group treated at our Level-1 major trauma center.…”

“…Although literature to date suggests a positive role for the use of DBP fixation in the treatment of displaced Lisfranc injuries, recent comprehensive reviews on current concepts clearly highlight the need to expand the evidence base. 17–20…”

Comparison of flexible fixation and screw fixation for isolated Lisfranc ligament injuries: A protocol for a meta-analysis of comparative studies

“…[9] For ILL injuries, the optimal method of fixation still remains controversial. [10] The traditional fixation method is achieved by trans-articular screws, but recently, dorsal bridge plates and suture button (SB) fixation have become alternatives. [10][11][12] Some biomechanical studies have showed that SB fixation can provide adequate strength compared to trans-articular screws.…”

“…[10] The traditional fixation method is achieved by trans-articular screws, but recently, dorsal bridge plates and suture button (SB) fixation have become alternatives. [10][11][12] Some biomechanical studies have showed that SB fixation can provide adequate strength compared to trans-articular screws. [13,14] The rationale for flexible Fixation is to obtain more physiologic movement of the joint during loading while maintain the required reduction.…”