Results of Arthrodesis of the Tarsometatarsal Joints after Traumatic Injury*†

Komenda, Gregory A.; Myerson, Mark S.; Biddinger, Kent R.

doi:10.2106/00004623-199611000-00005

Cited by 205 publications

(134 citation statements)

References 16 publications

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“…Unstable injuries that are misdiagnosed or inadequately treated generally go on to a poor result with persistent pain, activity limitations, and progressive post-traumatic arthritis in the involved joints [1,5], generally necessitating arthrodesis as salvage [6,7]. Chronic Lisfranc injuries (treated late) have historically been associated with less optimal outcomes relative to those properly diagnosed and treated at the time of injury, likely because of the effects of malalignment and abnormal load distribution across the involved joints prior to treatment.…”

Section: Misdiagnosismentioning

confidence: 99%

Lisfranc injuries

Clare

2017

Curr Rev Musculoskelet Med

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Section: Misdiagnosismentioning

confidence: 99%

Lisfranc injuries

Clare

2017

Curr Rev Musculoskelet Med

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“…While often effective as a definitive measure, operative intervention in the form of joint arthrodesis is associated with complications such as wound breakdown and infections 5 which can significantly increase the risk of non-union. 6,7 Even after achieving successful union of the symptomatic arthritic joints, increased stresses to surrounding joints can lead to the need for progressively larger fields of surgery. 8 Orthotic treatment is the preferred non-operative method of treatment for midfoot OA to alleviate pain and to provide a form of immobilization to the irritable arthritic joints.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Orthotic Treatment on Midfoot Osteoarthritis Assessed Using Specifically Designed Patient Evaluation Questionnaires

Ibuki¹,

Cornoiu

Clarke³

et al. 2010

Prosthetics &Amp; Orthotics International

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Midfoot osteoarthritis (OA) is a degenerative condition of the foot that can be treated nonoperatively by the use of orthotics. This prospective study was conducted to determine the effects of custom-made semi-rigid foot orthoses (FOs) and rigid carbon fibre (CF) footplates for the treatment of midfoot OA evaluated using specifically designed questionnaires. Fifty-seven subjects diagnosed with midfoot OA were recruited through a private clinic for inclusion in the study. Subjects were required to complete pre-treatment questionnaires prior to receiving orthotic treatment. All subjects received a pair of custom-made full-length semi-rigid FOs and 36 subjects also received CF footplates that were incorporated into the soles of the shoes worn on the symptomatic feet. Subjects completed post-treatment questionnaires at six weeks, three months and six months after receiving the orthotic treatment. The results demonstrated that there were no significant differences between the results of the subjects who received CF footplates and those who did not. The results of the questionnaires demonstrated that subjects experienced significant improvements in pain, activity levels, walking ability and footwear comfort at all intervals following the orthotic treatment (p 5 0.01). Subjects' satisfaction with the appearance of their footwear did not decrease with the orthotic treatment despite needing shoes to fit the FOs and CF footplates. The questionnaires also demonstrated that subjects were generally satisfied with the orthotic treatment for the management of their midfoot OA.

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“…If conservative measures fail to relieve the symptoms of these changes, arthrodesis of the painful tarsometatarsal joints is the treatment of choice [13, Fig. 3 Myerson et al classification of Lisfranc fracture-dislocations 16,36]. In our review, post-injury arthrodesis for posttraumatic arthritis was reported in 15 (7.8%) out of 192 patients (74.7%) during the last follow-up in five papers [11,17,21,23,33].…”

Section: Discussionmentioning

confidence: 83%

“…The tarsometatarsal complex consists of three functional columns [16]. The medial column is formed by the base of the first metatarsal and the medial cuneiform, the middle column is formed by the second and third metatarsals and their respective cuneiforms and the lateral column is formed by the fourth and fifth metatarsals and the cuboid.…”

Section: Discussionmentioning

confidence: 99%

The role of reduction and internal fixation of Lisfranc fracture–dislocations: a systematic review of the literature

Stavlas

Roberts

Xypnitos

et al. 2010

International Orthopaedics (SICOT)

141

127

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A systematic review of the literature was performed in order to evaluate the role of reduction and internal fixation in the management of Lisfranc joint fracturedislocations. Articles were extracted from the Pubmed database and the retrieved reports were included in the study only if pre-specified eligibility criteria were fulfilled. Eleven articles were eligible for the final analysis, reporting data for the management of 257 patients. Injuries of the first three metatarsal rays were treated by closed reduction and internal fixation with screws in 16.3% of the patients, open reduction and internal fixation with screws in 66.5% and open reduction and internal fixation with Kirschner wires (K-wires) in 17.1% of the patients. The preferred method for the stabilisation of the fourth and fifth metatarsal rays was K-wires. Screw-related complications were common and were reported in 16.1% of the cases. The mean American Orthopaedic Foot and Ankle Society midfoot score was 78.1 points. Post-traumatic radiographic arthritis was reported in 49.6% of the patients, but only in 7.8% of them it was severe enough to warrant an arthrodesis. We conclude that open reduction and internal fixation of the first three metatarsal rays with screws is a reliable method for the management of Lisfranc injuries. This can be complemented by K-wires application in the fourth and fifth metatarsal rays if needed.

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Results of Arthrodesis of the Tarsometatarsal Joints after Traumatic Injury*†

Cited by 205 publications

References 16 publications

Lisfranc injuries

Lisfranc injuries

The Effect of Orthotic Treatment on Midfoot Osteoarthritis Assessed Using Specifically Designed Patient Evaluation Questionnaires

The role of reduction and internal fixation of Lisfranc fracture–dislocations: a systematic review of the literature

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