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Outcomes after nonoperatively treated non-displaced Lisfranc injury : a retrospective case series of 55 patients
- Source :
- Archives of Orthopaedic and Trauma Surgery
- Publication Year :
- 2021
-
Abstract
- BackgroundCurrent knowledge of the role of the nonoperative treatment of Lisfranc injuries is based on a few retrospective case series. Hence, consensus on which patients can be treated nonoperatively does not exist. The aim of this study was to investigate outcomes after nonoperative treatment of Lisfranc injuries.MethodsIn this study, patients were collected by recruiting all computer tomography-confirmed Lisfranc injuries treated during a 5-year period at a major trauma hospital. Between 2 and 6 years after suffering the injury, patients completed the visual analogue scale foot and ankle questionnaire.ResultsIn total, 55 patients returned adequately completed questionnaires and were included in the study. Of those, 22 patients had avulsion fractures and 33 had simple non-displaced intra-articular fractures. Of these patients, 30 (55%) scored over 90 points in both the pain and function subscales of the VAS-FA, and 35 (64%) scored over 90 points overall. In addition, three (5%) patients scored under 60 points in both the pain and function subscales of the VAS-FA, and four (7%) scored under 60 points overall. Only one patient with avulsion fractures underwent secondary surgery.ConclusionNonoperative treatment has a role in the treatment of Lisfranc injuries, and the results of our study support the view that avulsion and simple intra-articular fractures with < 2 mm of displacement can be treated nonoperatively with high functional outcomes. The results of nonoperative and operative treatment should be compared in a prospective randomized controlled study setting in future studies.Level of evidenceIV, retrospective case series
- Subjects :
- Adult
Male
medicine.medical_specialty
Visual analogue scale
Trauma Surgery
Tarsometatarsal
Joint Dislocations
Injury
Outcomes
3121 Internal medicine
law.invention
Avulsion
Fracture Fixation, Internal
Fractures, Bone
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Lisfranc
medicine
Humans
Orthopedics and Sports Medicine
Conservative
Retrospective Studies
030222 orthopedics
Lisfranc injury
business.industry
Foot Bones
Major trauma
030229 sport sciences
General Medicine
medicine.disease
3126 Surgery, anesthesiology, intensive care, radiology
Surgery
Nonoperative treatment
Treatment
Treatment Outcome
medicine.anatomical_structure
Nonoperative
Orthopedic surgery
Female
Ankle
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Archives of Orthopaedic and Trauma Surgery
- Accession number :
- edsair.doi.dedup.....4fa6b995c2a3a12fedfe2d297ec41a9b