2014
DOI: 10.1590/1413-78522014220600576
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Abstract: OBJECTIVE: The objective of this prospective study was to test whether the treatment of Lisfranc injuries with open reduction and dorsal plate fixation would have the same or better functional outcomes as treatment with standard trans-articular screw fixation. METHODS: Sixty patients with primarily isolated Lisfranc joint injury were treated by open reduction and dorsal plate fixation or standard screw fixation. The patients were followed on average for 31 months. Evaluation was performed with patients' chief … Show more

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Cited by 57 publications
(39 citation statements)
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“…Advocates for bridge plating propose that avoiding further trauma to the articular surface of the injured joints further limits the risk of posttraumatic arthritis. [44][45][46] More extensive soft tissue dissection is required both at the time of implantation and hardware removal with use of dorsal plates, and more definitive studies are required before their use can be universally supported over screws. The authors typically reserve the use of dorsal locked bridge plating for grade 3 injuries with plantar instability and/or metatarsal base fractures that may limit the degree of stability achieved with transarticular screws (Fig.…”
Section: Surgical Hardwarementioning
confidence: 99%
“…Advocates for bridge plating propose that avoiding further trauma to the articular surface of the injured joints further limits the risk of posttraumatic arthritis. [44][45][46] More extensive soft tissue dissection is required both at the time of implantation and hardware removal with use of dorsal plates, and more definitive studies are required before their use can be universally supported over screws. The authors typically reserve the use of dorsal locked bridge plating for grade 3 injuries with plantar instability and/or metatarsal base fractures that may limit the degree of stability achieved with transarticular screws (Fig.…”
Section: Surgical Hardwarementioning
confidence: 99%
“…These injuries are rare, often misdiagnosed, and can be challenging to manage even for experienced providers [ 1 , 4 - 6 ]. The current preferred treatment of acute unstable Lisfranc injuries is open reduction and internal fixation (ORIF) [ 7 - 8 ]. Primary arthrodesis is also emerging as a promising surgical alternative, particularly in chronic or purely ligamentous injuries.…”
Section: Introductionmentioning
confidence: 99%
“…Primary arthrodesis is also emerging as a promising surgical alternative, particularly in chronic or purely ligamentous injuries. Currently, the hardware implant that delivers superior outcomes in ORIF is debatable [ 1 , 6 - 7 ].…”
Section: Introductionmentioning
confidence: 99%
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