Staged Treatment of High Energy Midfoot Fracture Dislocations

Abstract

Level III, retrospective comparative study.

Lisfranc injuries

“…Any dislocation-producing tension on the overlying skin and soft tissue envelope should be immediately reduced and immobilized. Temporary external fixation may be utilized in the event of a high-energy injury, particularly if provisional alignment cannot be maintained in a splint [9]. Definitive surgery is generally delayed 10 to 14 days to allow adequate resolution of soft tissue swelling.…”

Reconstruction of Traumatic Composite Tissue Defect of Medial Longitudinal Arch With Free Osteocutaneous Fibular Graft

“…An external fixator would be an alternative for fixation. Kadow et al reported that external fixators were effective to protect the length and alignment during staged treatment of midfoot fracture/dislocations (12). But we anticipated that the second stage would be closer and K-wire fixation would be enough for temporary fixation.…”

Classifications In Brief: The Tscherne Classification of Soft Tissue Injury

“…Attempts at early definitive fixation of highenergy injuries have been shown to result in an increased rate of complications, including skin slough and deep infection [7,9,22,30]. Conversely, staged fracture care (provisional external fixation followed by definitive internal fixation) has been shown to result in favorable functional outcomes with decreased rates of soft tissue complications [10,18,29,34].…”