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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2021, Number 4

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Acta Ortop Mex 2021; 35 (4)

Lisfranc lesions: clinical-functional repercussion

Calle-García J, Pedemonte-Parramon G, Matas M, Albertí G

Language: Spanish
References: 21
Page: 311-316
PDF size: 225.78 Kb.


ABSTRACT

Objective: Clinical and functional evaluation of patients with Lisfranc lesion without work or sport cause and treated in our center. Material and methods: Thirteen patients with Lisfranc lesion without occupational or sports causes were divided into two groups, high-energy and low-energy injuries. Were analyzed the return to work and sports activity prior to the injury and the use of footwear and insoles after the injury. Also were assessed AOFAS and EVA postoperative score and posterior complications after lesion recovery. Results: High-energy group included 7 patients who underwent surgery on an average of 7.3 days. Of the total of patients, 4 presented post-surgical sequelae. Of these patients, one patient was unable to return to their previous work activity and two patients were unable to practice the usual sports activity. The AOFAS was 79.4 and EVA 2.8. In the low energy group, we found six patients operated on 5.6 days on average. All of them were able to return to their previous work and sports activity. The AOFAS were 84.8 and the EVA 1.6. Statistically significant differences were not observed in any of the variables studied. Conclusion: Patients with Lisfranc injury out of laboral or sports background present good clinical and functional results.


REFERENCES

  1. Desmond EA, Chou LB. Current concepts review: Lisfranc injuries. Foot Ankle Int. 2006; 27(8): 653-60. Available in: https://doi.org/10.1177/107110070602700819

  2. Clare MP. Lisfranc injuries. Curr Rev Musculoskelet Med. 2017; 10(1): 81-5. Available in: https://doi.org/10.1007/s12178-017-9387-6

  3. Richter M, Wippermann B, Krettek C, Schratt HE, Hufner T, Thermann H. Fractures and fracture dislocations of the midfoot: occurrence, causes and long-term results. Foot Ankle Int. 2001; 22(5): 392-8. Available in: https://doi.org/10.1177/107110070102200506

  4. 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: 1083-91. Available in: https://doi.org/10.1007/s00264-010-1101-x

  5. Eleftheriou KI, Rosenfeld PF. Lisfranc injury in the athlete: evidence supporting management from sprain to fracture dislocation. Foot Ankle Clin. 2013; 18(2): 219-36. Available in: http://dx.doi.org/10.1016/j.fcl.2013.02.004

  6. Welck MJ, Zinchenko R, Rudge B. Lisfranc injuries. Injury. 2015; 46(4): 536-41. Available in: http://dx.doi.org/10.1016/j.injury.2014.11.026

  7. Lewis Jr JS, Anderson RB. Lisfranc injuries in the athlete. Foot Ankle Int. 2016; 37(12): 1374-80. Available in: https://doi.org/10.1177/1071100716675293

  8. Llopis E, Carrascoso J, Iriarte I, de Prado Serrano M, Cerezal L. Lisfranc injury imaging and surgical management. Semin Musculoskelet Radiol. 2016; 20(2): 139-53. Available in: http://dx.doi.org/ 10.1055/s-0036-1581119

  9. García-Renedo RJ, Carranza-Bencano A, Leal-Gómez R, Cámara-Arrigunaga F. Análisis de las complicaciones en pacientes con fractura-luxación de Lisfranc. Acta Ortopédica Mexicana. 2016; 30(6): 284-90.

  10. Calder JD, Saxby TS, Whitehouse SL. Results of isolated Lisfranc injuries and the effect of compensation claims. J Bone Joint Surg Br. 2004; 86(4): 527-30.

  11. Wagner E, Ortiz C, Villalón IE, Keller A, Wagner, P. Early weight-bearing after percutaneous reduction and screw fixation for low-energy lisfranc injury. Foot Ankle Int. 2013; 34(7): 978-83. Available in: https://doi.org/10.1177/1071100713477403

  12. Renninger CH, Cochran G, Tompane T, Bellamy J, Kuhn K. Injury characteristics of low-energy Lisfranc injuries compared with high-energy injuries. Foot Ankle Int. 2017; 38(9): 964-9. Available in: https://doi.org/10.1177/1071100717709575

  13. Vuori JP, Aro HT. Lisfranc joint injuries: trauma mechanisms and associated injuries. J Trauma. 1993; 35(1): 40-5. Available in: https://doi.org/10.1097/00005373-199307000-00007

  14. Lievers WB, Frimenko RE, Crandall JR, Kent RW, Park JS. Age, sex, causal and injury patterns in tarsometatarsal dislocations: a literature review of over 2000 cases. The Foot. 2012; 22(3): 117-24. https://doi.org/10.1016/j.foot.2012.03.003

  15. Thompson MC, Mormino MA. Injury to the tarsometatarsal joint complex. J Am Acad Orthop Surg. 2003; 11(4): 260-7. Available in: https://doi.org/10.5435/00124635-200307000-00005

  16. Stodle AH, Hvaal KH, Enger M, Brogger H, Madsen JE, Husebye EE. Lisfranc injuries: Incidence, mechanisms of injury and predictors of instability. Foot Ankle Surg. 2019; Available in: https://doi.org/10.1016/j.fas.2019.06.002

  17. Dubois-Ferriere V, Lu?bbeke A, Chowdhary A, Stern R, Dominguez D, Assal M. Clinical outcomes and development of symptomatic osteoarthritis 2 to 24 years after surgical treatment of tarsometatarsal joint complex injuries. J Bone Joint Surg Am. 2016; 98: 713-20. Available in: https://doi.org/10.2106/JBJS.15.00623

  18. Deol RS, Roche A, Calder JD. Return to training and playing after acute Lisfranc injuries in elite professional soccer and rugby players. Am J Sports Med. 2016; 44(1): 166-70. Available in: https://doi.org/10.1177/0363546515616814

  19. McHale KJ, Rozell JC, Milby AH, Carey JL, Sennett BJ. Outcomes of Lisfranc injuries in the National Football League. Am J Sports Med. 2016; 44(7): 1810-7. Available in: https://doi.org/10.1177/0363546516645082

  20. MacMahon A, Kim P, Levine DS, Burket J, Roberts MM, Drakos MC, et al. Return to sports and physical activities after primary partial arthrodesis for Lisfranc injuries in young patients. Foot Ankle Int. 2016; 37(4): 355. Available in: https://doi.org/10.1177/1071100715617743

  21. Mora AD, Kao M, Alfred T, Shein G, Ling J, Lunz D. Return to sports and physical activities after open reduction and internal fixation of Lisfranc injuries in recreational athletes. Foot Ankle Int. 2018; 39(7): 801-7. Available in: https://doi.org/10.1177/1071100718765176



EVIDENCE LEVEL

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