Long-Term Effects of Surgery for Lisfranc Injuries
Author Information
Author(s): Muacevic Alexander, Adler John R, Fontanella Laura, Schwab Joseph M, Chidda Amal, Tannast Moritz, Seidel Angela
Primary Institution: Department of Orthopaedics and Traumatology, Ente Ospedaliero Cantonale, Locarno, CHE
Hypothesis
Patients with open reduction and internal fixation (ORIF) have a similar outcome compared to primary arthrodesis (PA), and the long-term fusion rate is less than 10%.
Conclusion
Patients need to be informed about the possibility of limitations of activity, including sporting activity, as no operative technique shows an advantage in the mid-term.
Supporting Evidence
- 14 out of 29 patients were seen at a mean follow-up of 8.3 years.
- The median EFAS score was 15.5, indicating significant variability in outcomes.
- 12 patients underwent follow-up X-rays, showing a mean Kellgren-Lawrence score of 2.7.
Takeaway
This study looked at how well people did after surgery for a specific foot injury called a Lisfranc injury, showing that many still have activity limitations years later.
Methodology
Patients operated for a Lisfranc injury between 2010 and 2016 were included, and a systematic review of the literature was performed.
Potential Biases
Multiple surgeons were involved, which may introduce variability in treatment and outcomes.
Limitations
The study had a low follow-up rate of 50%, which is lower than the average in the systematic review.
Participant Demographics
The mean age at the time of injury for the group was 50.4 years, with 35% being smokers and 7% having diabetes.
Digital Object Identifier (DOI)
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