Lisfranc midfoot dislocations:​ correlations between surgical treatment and functional outcomes

Bandac, R. C.; Botez, P.

Affiliations

¹Ph. D. student at University of Medicine and Pharmacy „Grigore T. Popa”- Iași „Sf. Ioan cel Nou” Emergency County Hospital - Suceava

²Orthopedics-Traumatology Unit University of Medicine and Pharmacy „Grigore T. Popa”- Iași School of Medicine

³Discipline of Orthopedics-Traumatology

Abstract and keywords

Lisfranc dislocations and fracture dislocations are the most common severe injuries of the foot.

Aim: To assess the function-al outcome of patients with Lisfranc dislocations of the midfoot by applying the latest methods of diagnosis and treatment.

Material and methods: The study reviewed 31 patients with dislocations and fracture- dislocations of the Lisfranc joint over a 10 years period. The average follow-up period was 44 months (range 12 - 108). Injuries were classified according to Myerson scale.

Results: The outcomes were evaluated using the Baltimore Painful Foot score (PFS) and American Orthopaedic Foot and Ankle Society (AOFAS) mid-foot scoring scale. 10 patients had an excellent outcome on the PFS scale, 8 were classified as good, 13 fair and poor. The average AOFAS score for the midfoot, used for results interpretation was 72 (range 52-92).

Conclusions: Of all methods of surgical treatment used, the highest scores were obtained by inter- nal fixation with screws. Eight patients (25.8 %) developed posttraumatic arthritis of the tarsometatarsal joints.

Keywords: tarsometatarsal dislocation, lisfranc joint, internal fixation, functional outcome

Links

URL: http://www.revmedchir.ro/uploads/1/5/7/2/15722076/31ch_ao_22_bandac_r_c_934-839.pdf

PubMed: 23272538

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Cited By (1)

Year	Entry
2015	Li B, Zhao W, Liu L, Huang F, Wang G, Wang G, Wang G, Zhang H. Efficacy of open reduction and internal fixation with a miniplate and hollow screw in the treatment of Lisfranc injury. Ch J Traumatol. February 2015;18(1):18-20.