Abstract
The purpose of this study was to assess functional outcome of patients with a Lisfranc fracture dislocation of the foot by applying validated patient- and physician-based scoring systems and to compare these outcome tools. Of 25 injuries sustained by 24 patients treated in our institution between January 1995 and June 2001, 16 were available for review with a mean follow-up period of 36 (10–74) months. Injuries were classified according to Myerson. Outcome instruments used were: (a) Medical Outcomes Study 36-Item Short Form Health Survey (SF-36), (b) Baltimore Painful Foot score (PFS) and (c) American Orthopedic Foot and Ankle Society (AOFAS) mid-foot scoring scale. Four patients had an excellent outcome on the PFS scale, seven were classified as good, three fair and two poor. There was a statistically significant correlation between the PFS and Role Physical (RP) element of the SF-36.
Résumé
Le but de cette étude était d'étudier le résultat fonctionnel du traitement d'une fracture luxation du Lisfranc en utilisant des scores validés Patient et Médecin et en les comparant. A partir de 24 malades traités entre janvier 1995 et juin 2001pour 25 lésions, 16 malades étaient disponibles pour la révision avec une moyenne de suivi de 36 (10–74) mois. Les blessures ont été classées d'après Myerson. Les échelles d'appréciation utilisées étaient: (a) l'échelle de qualité SF-36, (b) le score Pied douloureux de Baltimore (PFS) et, (c), le score de l' American Orthopedic Foot and Ankle Society (AOFAS). Quatre malades avaient un excellent résultat sur l'échelle de Baltimore, sept ont été classés comme bon, trois comme moyen et deux mauvais. Il y avait une corrélation statistiquement significative entre le score de Baltimore et le score SF-36.
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References
- 1. Aitken AP, Poulson D (1963) Dislocations of the tarsometatarsal joint. J Bone Joint Surg [Am] 45:246–260 [PubMed]
- 2. Arntz CT, Veith RG, Hansen ST (1988) Fractures and fracture dislocations of the tarsometatarsal joint. J Bone Joint Surg [Am] 70:173–181 [PubMed]
- 3. Brunet JA and Wiley JJ (1987) The late results of tarso-metatarsal joint injuries. J Bone Joint Surg [Br] 69:437–440 [DOI] [PubMed]
- 4.Early Bucholz. 1996;RW:169. [Google Scholar]
- 5. English TA (1964) Dislocations of the metatarsal bone and adjacent toe. J Bone Joint Surg [Br] 46:700–704 [PubMed]
- 6. Faciszewski T, Burks RT, Manaster BJ (1990) Subtle injuries of the Lisfranc joint. J Bone Joint Surg [Am] 72:1519–1522 [PubMed]
- 7.Goosens Clin Orthop. 1982;176:154. [Google Scholar]
- 8. Harcastle PH, Reschauer R, Kutscha-Lissberg E et al (1982) Injuries to the tarsometatarsal joint: Incidence, classification and treatment. J Bone Joint Surg [Br] 64:349–356 [DOI] [PubMed]
- 9.Kitaoka Foot Ankle Int. 1994;15:349. doi: 10.1177/107110079401500701. [DOI] [PubMed] [Google Scholar]
- 10. Kuo RS, Tejwani NC, Digiovanni CW et al (2000) Outcome after open reduction and internal fixation of Lisfranc joint injuries. J Bone Joint Surg [Am] 82:1609–1618 [DOI] [PubMed]
- 11.Leenen Injury. 1992;23:51. doi: 10.1016/0020-1383(92)90127-e. [DOI] [PubMed] [Google Scholar]
- 12. Martin DP, Engelberg R, Agel J et al (1997) Comparison of the Musculoskeletal Functional Assessment questionnaire with the Short Form-36, the Western Ontario and McMaster Universities Osteoarthritis Index, and the Sickness Impact Profile Health-Status Measures. J Bone Joint Surg [Am] 79:1323–1335 [DOI] [PubMed]
- 13.Mulier Acta Orthop Belg. 1997;63:82. [PubMed] [Google Scholar]
- 14.Myerson Foot Ankle Int. 1986;6:225. doi: 10.1177/107110078600600504. [DOI] [PubMed] [Google Scholar]
- 15.Potter Foot Ankle Int. 1998;19:438. doi: 10.1177/107110079801900704. [DOI] [PubMed] [Google Scholar]
- 16.Richter Foot Ankle Int. 2001;22:392. doi: 10.1177/107110070102200506. [DOI] [PubMed] [Google Scholar]
- 17. Rosenberg GA, Patterson BM (1995) Tarsometatarsal (Lisfranc's) fracture-dislocations. Am J Orthop [Suppl] l:7–16 [PubMed]
- 18.Stein Foot Ankle. 1983;3:286. doi: 10.1177/107110078300300508. [DOI] [PubMed] [Google Scholar]
- 19.Turchin J Orthop Trauma. 1999;13:1. doi: 10.1097/00005131-199901000-00001. [DOI] [PubMed] [Google Scholar]
- 20.Vuori J Trauma. 1993;35:40. doi: 10.1097/00005373-199307000-00007. [DOI] [PubMed] [Google Scholar]
- 21. Ware JE, Snow KK, Kosinki M. (2000) SF-36® Health survey: Manual and interpretation guide. Quality Metric Incorporated, Lincoln