Outcomes of Lisfranc Injuries Treated with Joint-Preserving Fixation

Scofield, H.; Lam, Kenrick; Stautberg, Eugene; Weiss, William; Mahmoud, Alì Mokhtar; Panchbhavi, Vinod K.

doi:10.1007/s43465-020-00070-1

Cited by 5 publications

(3 citation statements)

References 22 publications

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“…37 Additionally, a 2020 study by Scofield et al reported patients treated with a Lisfranc screw in addition to joint-preserving dorsal fixation using staples or plates had comparable outcomes scores to patients treated with transarticular screws. 38 Although different construct types can be used, direct visualization is necessary to help identify instability patterns and assist with obtaining a stable anatomic reduction to improve patient outcomes. 6,39 In this particular case, surgical management was chosen for our patient due to the unstable nature of the ligamentous Lisfranc injury, which would result in long-term disability if treated nonoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…41 Additionally, when compared to primary arthrodesis, ORIF is a cartilage-sparing procedure that preserves the joint, and our active, healthy, 23-year-old construction worker did not have extensive articular cartilage damage upon injury assessment during the index procedure or evidence of pre-existing midfoot arthritis, which would have directed us to perform a primary arthrodesis as a more favorable option. 6,38 Interosseous transarticular solid-screw fixation across the intercuneiform joint was utilized to rigidly hold reduction to allow the ligaments to heal. 42 A Lisfranc screw is routinely placed for the reduction and stabilization of diastases between the medial cuneiform and the base of the second metatarsal after a ligamentous Lisfranc injury.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of a Lisfranc Ligament Transection

et al. 2023

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Ligamentous Lisfranc injuries, which mimic a surgical transection are rare. Left untreated or missed, these injuries may result in severe complications including long-term disability. The present case describes a unique mechanism of injury via a sharp object puncture through the plantar surface of the midfoot. It highlights the utility of planning staged procedures to remove a large foreign body object, reports notable intraoperative techniques, and provides a decision management guide for treating this type of injury. Extensive surgical planning may be required when encountering similar cases and knowledge of this may be useful to providers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Rare Case of a Lisfranc Ligament Transection

et al. 2023

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“…In the late 1980s to 1990s, there was nearly universal acceptance of an open reduction and internal fixation method [ 4 ]. In many instances, this included the insertion of transarticular screws which created greater stability [ 5 ]. However, there have been reports of complications with the screws, which include damage to articular cartilage, irritation to the patient, loosening, and hardware failure [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Early Outcomes of Lisfranc Injuries Treated with Arthrex InternalBrace: A Case Series

Hoskins,

Wise,

Unangst

et al. 2024

JOIO

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Introduction The treatment of Lisfranc injuries continues to evolve with time. The purpose of this study was to report early outcomes of patients with Lisfranc ligamentous injuries treated with the Arthrex InternalBrace, which has benefits to other previously described techniques. Materials and methods We retrospectively identified 15 adult patients with Lisfranc injuries that were treated via open reduction internal fixation with the Arthrex InternalBrace (Naples, Fl). These patients were identified at two separate United States institutions between 2019 and 2022. Demographic data, mechanism of injury, and concomitant foot injuries were recorded. Outcomes were assessed by return-to-work or sport and time to weight-bearing. Secondary complications or revision surgeries were noted. Results The mean patient age was 35 years. Eight patients had isolated Lisfranc ligamentous injuries and seven had additional intercuneiform instability, which required a supplemental limb of the fixation device. The most common mechanism of injury was a cutting/pivoting maneuver (n = 5) followed by fall (n = 4). The mean radiographic follow-up time was 7.3 months. The average time to weight-bearing as tolerated was 6.6 weeks (± 2.2). The average time to return-to-work/sport as tolerated was 14.1 weeks (± 3.6). Only two minor complications were noted at follow-up but no major complications or revision surgeries occurred. Conclusions The outcomes of this case series suggest that the Arthrex InternalBrace is a viable option when performing open reduction and internal fixation of Lisfranc ligamentous injuries. Future prospective studies are needed to directly compare this device with alternative fixation methods. Graphical Abstract

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