Lisfranc Injuries

Seybold, Jeffrey D.; Coetzee, J. N.

doi:10.1016/j.csm.2015.06.006

Cited by 48 publications

(17 citation statements)

References 52 publications

(81 reference statements)

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“…Isolated Lisfranc ligament and some other combined ligament injuries to the Lisfranc Joint Complex are frequently found in clinical practice, and surgical treatment is commonly indicated (1). Because of the close relationship of the tarsometatarsal bones and the relatively restricted mobility of each one of the joints in this area, it is intuitive to conclude that isolated Lisfranc ligament lesions are very rare to say the less (2). Considering the Nunley-Vertullo's classification for the tarsometatarsal ligament lesions, grades II and III show important characteristics that can lead to regional instability, because of the diastasis between the first and second metatarsals and the intercuneiform joints (3).…”

Section: Introductionmentioning

confidence: 99%

“…Fixation of the medial, lateral and intermediate cuneiforms with trans-articular screws provide a stable fixation, but it destroys part of the articular surface and there is a necessity of implant removal to try to reestablish the articular function (4)(5)(6)(7). Primary arthrodesis is an option reported in the literature to treat the tarsometatarsal injuries (2,8). Arthrodesis eliminate normal motion of theses joints and may overload the adjacent joint.…”

Section: Introductionmentioning

confidence: 99%

“…This is a functional demonstration of the limitations that could occur after this type of treatment. Nowadays, the literature still consider the use of trans-articular screws or primary arthrodesis to treat Lisfranc injuries as gold standard, (1,2,10) even with the common concept that any rigid and long immobilization of a ligament is detrimental to healing and compromises its mechanical properties (11). Ideally, the best form to treat an articular joint involvement is to use a long-lasting implant, with flexibility that could potentially provide the proper stability allowing enough motion to achieve a more physiologic ligament healing.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Dynamic Lisfranc Joint Repair Concept: Surgical Technique for a Synthetic Neoligamentplasty

Nery

Giza

Wagner

et al. 2019

Muscle Ligaments and Tendons J

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Background. Isolated Lisfranc ligament and some other combined ligament injuries to the Lisfranc Joint Complex are frequently found in clinical practice, and surgical treatment is commonly indicated. In order to achieve favorable outcomes following the repair of Lisfranc injuries, a successful anatomical reduction is required. Various fixation methods currently exist such as screw fixation, dorsal bridge plate fixation, K-wire stabilization, primary fusion, neoligamentplasty and TightRope stabilization. Each technique has its own advantages and disadvantages. any rigid and long immobilization of a ligament is detrimental to healing and compromises its mechanical properties. Ideally, the best form to treat an articular joint involvement is to use a long-lasting implant, with flexibility that could potentially provide the proper stability allowing enough motion to achieve a more physiologic ligament healing. We describe a novel technique to reconstruct the Lisfranc injuries with pure ligament disruption using a synthetic neoligamentplasty with FiberTape-InternalBrace™ (Arthrex, Naples, FL) passed through anatomic bone tunnels that mimic the original isometric position of the ligaments. Methods. We described the technique and evaluated 7 consecutive patients with midfoot ligament injury and a combination of tarsometatarsal instability and/or intercuneiform instability. Results. We found no postoperative complications, stiffness, or loss of correction. Conclusions. The innovative surgical technique present in this article is effective and eliminates the need for subsequent implant removal for lisfranc joint injuries. It could also provide a more physiologic arch deformation to interact with the environment in a more effective way, protecting the surrounding joints from excessive loads.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Dynamic Lisfranc Joint Repair Concept: Surgical Technique for a Synthetic Neoligamentplasty

Nery

Giza

Wagner

et al. 2019

Muscle Ligaments and Tendons J

View full text Add to dashboard Cite

show abstract

“…Many researchers indicated that rigorous anatomical reduction should be performed, as functional recovery after surgery directly relates to reduction, regardless of performing a true percutaneous technique or open methods [9, 12–14]. Previous studies demonstrated that malreduction during surgery led to poor function and imaging scores in up to 49.6 % cases [15, 16].…”

Section: Discussionmentioning

confidence: 99%

“…The method by Boffeli was the most typical, in which one-stage fusion was performed in the medial column, ORIF in the central column, and k-wire fixation in the lateral column [20]. Some researchers demonstrated no statistically significant difference in the functional scoring and satisfaction degree between cases treated with one-stage joint fusion and those treated with one-stage internal fixation, after a long-term follow-up [14, 19, 21]. The advantage of joint fusion was that the probability of removing the internal fixator was low, whereas the disadvantages were as follows: joint fusion requires skilled doctors and is difficult to fulfill during emergencies or hospital night shift, and fixation in standard joint fusion by using a screw spike through a joint or a fixation plate across a joint significantly increases the risk of bone infection in cases with open injury.…”

Section: Discussionmentioning

confidence: 99%

Severe open Lisfranc injuries: one-stage operation through internal fixation associated with vacuum sealing drainage

Wang

et al. 2016

J Orthop Surg Res

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BackgroundThis study aimed to investigate the clinical feasibility of treating severe open Lisfranc injuries by means of one-stage internal fixation with k-wires associated with vacuum sealing drainage (VSD).MethodsThe clinical outcomes of 20 cases of severe open Lisfranc joint fracture-dislocation treated by using one-stage internal fixation with k-wires associated with VSD, after debridement and suturing during emergency treatment, were reviewed.ResultsAt 6 and 12 months after surgery, the American Orthopaedic Foot and Ankle Society midfoot scores were 69.2 and 78.2, the positive rates were 75 and 85 %, and the average visual analogue scale scores were 4.3 and 1.3, respectively. The average time of internal fixation surgery was 47 min (30–70 min). There were three cases of wound-edge necrosis; however, there were no cases of skin necrosis around the incision, or deep infection. The mean time of first hospital stay was 16.1 days (10–23 days).ConclusionsTreatment of severe open Lisfranc fracture and dislocation through one-stage internal fixation with k-wires in association with VSD led to fast anatomical reduction, stabilized bony structure, fast soft tissue recovery, and good short-term follow-up results.

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Micro‐CT analysis of the Lisfranc complex reveals higher bone mineral density in dorsal compared to plantar regions

Requist

Sripanich

Rolvien

et al. 2021

Journal Orthopaedic Research

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Injuries to the Lisfranc complex may require surgical fixation, the stability of which may be correlated with bone mineral density (BMD). However, there is limited research on regional BMD variations in the Lisfranc complex. This study used quantitative micro-CT to characterize regional BMD in the four bones (medial cuneiform, intermediate cuneiform, first metatarsal, and second metatarsal) of this complex.Twenty-four cadaveric specimens were imaged with a calibration phantom using micro-CT. Each bone was segmented and divided into eight regions based on an anatomical coordinate system. BMD for each octant was calculated using scanspecific calibration equations and average image intensity. Differences between regions were analyzed using ANOVA with post hoc analysis and differences between groups of four octants in each plane were analyzed with t-tests with significance level α = 0.05. The highest density region in the medial cuneiform was the distal-dorsal-lateral and dorsal regions showed significantly higher BMD than plantar regions. The intermediate cuneiform had the highest density in the distal-dorsal-medial region and the dorsal and medial regions had higher BMD than the plantar and lateral regions, respectively. The densest region of the first metatarsal was the distal-dorsal-lateral and distal regions had significantly higher BMD than proximal regions. In the second metatarsal, the distal-dorsal-medial region had the highest density, and the distal, dorsal, and medial regions had significantly higher BMD than the proximal, plantar, and lateral regions, respectively. The predominant finding was a pattern of increased density in the dorsal bone regions, which may be relevant in the surgical management of Lisfranc injuries.

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Lisfranc Injuries

Cited by 48 publications

References 52 publications

Dynamic Lisfranc Joint Repair Concept: Surgical Technique for a Synthetic Neoligamentplasty

Dynamic Lisfranc Joint Repair Concept: Surgical Technique for a Synthetic Neoligamentplasty

Severe open Lisfranc injuries: one-stage operation through internal fixation associated with vacuum sealing drainage

Micro‐CT analysis of the Lisfranc complex reveals higher bone mineral density in dorsal compared to plantar regions

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