Management of Complex Open Fracture Injuries of the Midfoot With External Fixation

Chandran, Prakash; Puttaswamaiah, Ravindra; Dhillon, Mandeep Singh; Gill, SS

doi:10.1053/j.jfas.2006.06.002

Cited by 47 publications

(33 citation statements)

References 24 publications

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“…Isolated Medial cuneiform fracture reported few times in literature [3,4]. Chandran et al (2006) reported 40% malunion rate in complex midfoot fractures, with more than half of the patients had problems with weight bearing and tiptoeing with associated long-term morbidity [5]. Staged surgical approach for management of complex midfoot fracture was assessed by Kadow wt al 2014 [6].…”

Section: Discussionmentioning

confidence: 99%

Antibiotic Hydroxyapatite Impregnated Bulk Autograft for Traumatic Large Bone Void. Technique & Case Report

Aljawadi¹,

Reid²,

Pillai³

et al. 2019

SCR

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Background: Mid-foot open fractures are rare, and usually presents with high energy trauma. Staged approach for the management of open midfoot fractures was described by few authors. Case presentation: Up to authors best knowledge, this is the first article describing the management of mid-foot open fracture that presented 6 weeks spost injury and had absent medial cuneiform at presentation, with multi-fragmentary fracture of middle and lateral cuneiform associated with fracture of proximal second, third and fourth metatarsals. Management and Outcomes: Management involved conjoint ortho-plastics care, External fixation, with iliac crest graft covered with Gentamicin Eluting Injectable Bone Graft Substitute (Cerament-G) to replace missing medial cuneiform, free Superficial Circumflex Iliac Artery Perforator (SCIP) Flap. This surgical approach resulted in successful union of iliac crest graft restoring the medial cuneiform alignment, with no evidence of infection.

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Section: Discussionmentioning

confidence: 99%

Antibiotic Hydroxyapatite Impregnated Bulk Autograft for Traumatic Large Bone Void. Technique & Case Report

Aljawadi¹,

Reid²,

Pillai³

et al. 2019

SCR

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“…Mini fixator is also an alternative for Lisfranc stabilization. [18,19] Taking pin track infection into consideration, [20,21] we preferred to apply it only for the restoration of the length of shortening deformity.…”

Section: Discussionmentioning

confidence: 99%

Staged management of open Lisfranc injury

Shi²

2017

Medicine

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There are still controversies on the management and outcome of open Lisfranc injury in available studies. This study evaluates the staged management of Lisfranc injury and its complications.Patients who received a staged strategy for open Lisfranc injury were reviewed.One patient with degloving injury suffered from partial skin and hallux necrosis which was treated by debridement, hallux amputation, definitive internal fixation, and local flap transfer on the 12th day after first stage management. A definitive internal fixation and simultaneous skin graft or flap coverage were performed in another 3 patients with soft tissue defects. Other patients without soft tissue problems underwent a second stage of definitive internal fixation. Bone union was observed on the 12.5th week after definitive surgery. The median AOFAS midfoot score at the last follow-up was 74.4 ± 8.7, while the average VAS score was 2.2 ± 1.8. The average return-to-work time was 8th months postoperatively in 9 patients. Flap necrosis, infection, implant failure, nonunion, and osteomyelitis were not observed during the follow-up. Two patients received Lisfranc arthrodesis for persistent pain due to posttraumatic arthritis.In the management of open Lisfranc injury, surgeons must consider soft tissue condition. Staged strategy is a rational protocol for this severe injury. Temporary K-wire fixation after early radical debridement and realignment will facilitate the definitive internal fixation until soft tissue condition improves, which also can decrease the soft tissue complication.

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“…K-wire placement [26,[28][29][30], screw fixation [21,28,31], and plating [7,31] have been described. Also external fixation [21,32] and cerclage wire fixation [27] are optional. Overall, ORIF has been reported as leading to good results [7,13].…”

Section: Treatment and Clinical/functional Outcomementioning

confidence: 99%

“…Loss of motion of the essential talo-navicular joint can be prevented with sequential bridge plating [33]. Adjunct to closed reduction internal fixation with screws or K-wires, external fixation is optional [25,32,35]. MCF length restoration and maintenance can be achieved.…”

Section: Treatment and Clinical/functional Outcomementioning

confidence: 99%

Results and complications of operative and non-operative navicular fracture treatment

Coulibaly

Jones

Sietsema

et al. 2015

Injury

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Management of Complex Open Fracture Injuries of the Midfoot With External Fixation

Cited by 47 publications

References 24 publications

Antibiotic Hydroxyapatite Impregnated Bulk Autograft for Traumatic Large Bone Void. Technique & Case Report

Antibiotic Hydroxyapatite Impregnated Bulk Autograft for Traumatic Large Bone Void. Technique & Case Report

Staged management of open Lisfranc injury

Results and complications of operative and non-operative navicular fracture treatment

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