Definitive treatments for Lisfranc injury: a systematic review and meta-analysis

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Sanjaya, Sah¹; Haoyang, Ren¹; Tao, Yu¹; Mingzhu, Zhang¹; Kai, Chen¹; Bing, Li¹; Jun, Feng¹; Youguang, Zhao¹; Yunfeng, Yang¹; Guangrong, Yu¹

Definitive treatments for Lisfranc injury: a systematic review and meta-analysis

Biomed Lett. 2015;1(2):88-94

Affiliations

¹Department of Orthopaedic, Foot and Ankle Surgery, Shanghai Tongji Hospital, School of Medicine, Tongji University, Shanghai 200065, China
Abstract and keywords

To prevent the risk of post traumatic long term sequelae of Lisfranc injury early recognition and expeditious surgical interventions are essence of need. There have been two contemplated ways of intervention, Open Reduction and Internal Fixation (ORIF) and Arthrodesis. Still, argument remains for better approach.

In this study, a comprehensive search was carried out on PubMed, Web of Science, Cochrane database Library, EMBASE and google scholar for studies on surgical treatment of tarsometatarsal/lisfranc injury advocated on (a) anatomic alignment (b) postoperative complication (c) re-surgery after postoperative complication (d) implant removal and (e) clinical outcome. A metaanalysis was performed by the help of basic guidelines of Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA).

Four potential studies with 146 patient were included in current meta-analysis. None of the proposed surgery had better outcome with nonanatomic alignment, the risk ratio 1.01 [95% CI, 0.92, 1.12; Test for overall effect: Z = 0.26 (P = 0.80)]. Here risk ratio for postoperative complication was 1.31 [95% CI, 0.78, 2.20; Test for overall effect: Z = 1.04 (P = 0.30)] indicating favoring neither ORIF nor arthrodesis. In the same way risk ratio for re-surgery for postoperative complication was 0.39 [95% CI, 0.12, 1.26; Test for overall effect: Z = 1.58 (P = 0.11)]. For implant removal risk ratio was calculated to be 0.14 [95% CI, 0.04, 0.50 Test for overall effect: Z = 3.05 (P = 0.002)], which indicates frequency of hardware removal was significantly soar on ORIF group while in arthrodesis it was quite low. Statistically clinical outcome of standard mean difference was 0.54 [95% CI, -1.97, 3.05 Test for overall effect: Z = 0.42 (P = 0.67)], which indicates none of intervention was on favor. Based on the currently available statistical analysis, it was justice on the favor of arthrodesis for Lisfranc injuries in terms of anatomical alignment, implant removal, or outcome score. Arthrodesis was comparatively more beneficial for severe Lisfranc injury with complete ligamentous involvement. For further more improvements prospective randomized controlled trial will be needed with American Orthopedic Foot & Ankle Society (AOFAS) score

Level of evidence: Level I, therapeutic study.

Keywords: Lisfranc injury, tarsometatarsal, fracture dislocation, arthrodesis, open reduction & internal fixation, meta-analysis
Links

URL: http://thesciencepublishers.com/biomed_lett/v1i2abstract7.html
History

Received: 2015-08-16

Revised: 2015-09-11

Accepted: 2015-09-21

Cited Works (31)

Year	Entry
1963	Aitken AP, Poulson D. Dislocations of the tarsometatarsal joint. J Bone Joint Surg. 1963;45A:246-260.
1997	de Palma L, Santucci A, Sabetta SP, Rapali S. Anatomy of the Lisfranc joint complex. Foot Ankle Int. June 1997;18(6):356-364.
2010	Mulier T, de Haan J, Vriesendorp P, Reynders P. The treatment of Lisfranc injuries: review of current literature. Euro J Trauma Emerg Surg. 2010;36(3):206-216.
2015	Welck MJ, Zinchenko R, Rudge B. Lisfranc injuries. Injury. April 2015;46(4):536-541.
2014	Salvi AE. Lisfranc injuries: a matter of ligament disruption. J Foot Ankle Surg. September–October 2014;53(5):674-676.
2012	Sheibani-Rad S, Coetzee JC, Giveans MR, DiGiovanni C. Arthrodesis versus ORIF for Lisfranc fractures. Orthopedics. June 2012;35(6):e868-e873.
2014	Boffeli TJ, Pfannenstein RR, Thompson JC. Combined medial column primary arthrodesis, middle column open reduction internal fixation, and lateral column pinning for treatment of Lisfranc fracture-dislocation injuries. J Foot Ankle Surg. September–October 2014;53(5):657-663.
2005	Alberta FG, Aronow MS, Barrero M, Diaz-Doran V, Sullivan RJ, Adams DJ. Ligamentous Lisfranc joint injuries: a biomechanical comparison of dorsal plate and transarticular screw fixation. Foot Ankle Int. 2005;26(6):462-473.
2015	Crates JM, Barber FA, Sanders EJ. Subtle lisfranc subluxation: results of operative and nonoperative treatment. J Foot Ankle Surg. May–June 2015;54(3):350-355.
2008	Johnson A, Hill K, Ward J, Ficke J. Anatomy of the Lisfranc ligament. Foot Ankle Spec. 2008;1(1):19-23.
2008	Rammelt S, Schneiders W, Schikore H, Holch M, Heineck J, Zwipp H. Primary open reduction and fixation compared with delayed corrective arthrodesis in the treatment of tarsometatarsal (Lisfranc) fracture dislocation. J Bone Joint Surg. November 2008;90B(11):1499-1506.
2012	Ghate SD, Sistla VM, Nemade V, Vibhute D, Shahane SM, Samant AD. Screw and wire fixation for Lisfranc fracture dislocations. J Orthop Surg. 2012;20(2):170-175.
2012	Marín-Peña OR, Recio FV, Gómez TS, Garijo RL. Fourteen years follow up after Lisfranc fracture-dislocation: functional and radiological results. Injury. December 2012;43(suppl 2):S79-S82.
1996	Komenda GA, Myerson MS, Biddinger KR. Results of arthrodesis of the tarsometatarsal joints after traumatic injury. J Bone Joint Surg. 1996;78A(11):1665-1676.
2006	Rajapakse B, Edwards A, Hong T. A single surgeon's experience of treatment of Lisfranc joint injuries. Injury. September 2006;37(9):914-921.
2012	Reinhardt KR, Oh LS, Schottel P, Roberts MM, Levine D. Treatment of Lisfranc fracture-dislocations with primary partial arthrodesis. Foot Ankle Int. January 2012;33(1):50-56.
1963	Cassebaum WH. Lisfranc fracture-dislocations. Clin Orthop Relat Res. 1963;30:116-132.
2001	Chiodo CP, Myerson MS. Developments and advances in the diagnosis and treatment of injuries to the tarsometatarsal joint. Orthop Clin North Am. 2001;32(1):11-20.
2002	Mulier T, Reynders P, Dereymaeker G, Broos P. Severe lisfranc injuries: primary arthrodesis of ORIF? Foot Ankle Int. 2002;23(10):902-905.
2004	Sands AK, Grose A. Lisfranc injuries. Injury. 2004;35(2)(suppl 1):S-B71–S-B76.
2008	Myerson MS, Cerrato RA. Current management of tarsometatarsal injuries in the athlete. J Bone Joint Surg. 2008;90A(11):2522-2533.
2014	Yu X, Pang Q-J, Yang C-C. Functional outcome of tarsometatarsal joint fracture dislocation managed according to Myerson classification. Pak J Med Sci. July–August 2014;30(4):773-777.
2009	Cook KD, Jeffries LC, O'Connor JP, Svach D. Determining the strongest orientation for "Lisfranc's screw" in transverse plane tarsometatarsal injuries: a cadaveric study. J Foot Ankle Surg. 2009;48(4):427-431.
2009	Henning JA, Jones CB, Sietsema DL, Bohay DR, Anderson JG. Open reduction internal fixation versus primary arthrodesis for Lisfranc injuries: a prospective randomized study. Foot Ankle Int. 2009;30(10):913-922.
2010	Stavlas P, Roberts CS, Xypnitos FN, Giannoudis PV. The role of reduction and internal fixation of lisfranc fracture–dislocations: a systematic review of the literature. Int Orthop. 2010;34(8):1083-1091.
1982	Hardcastle PH, Reschauer R, Kutscha-Lissberg E, Schoffmann W. Injuries to the tarsometatarsal joint: incidence, classification and treatment. J Bone Joint Surg. 1982;64B(3):349-356.
2014	Hu S-j, Chang S-m, Li X-h, Yu G-r. Outcome comparison of Lisfranc injuries treated through dorsal plate fixation versus screw fixation. Acta Ortop Bras. 2014;22(6):315-320.
2007	Coetzee JC, Ly TV. Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. J Bone Joint Surg. March 2007;89A(pt 1)(suppl 2):122-127.
1986	Myerson MS, Fisher RT, Burgess AR, Kenzora JE. Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment. Foot Ankle. 1986;6(5):225-242.
1998	Buzzard BM, Briggs PJ. Surgical management of acute tarsometatarsal fracture dislocation in the adult. Clin Orthop Relat Res. 1998;353:125-133.
1989	Myerson M. The diagnosis and treatment of injuries to the Lisfranc joint complex. Orthop Clin North Am. 1989;20(4):655-664.