Table 3.
Main studies on the treatment of Lisfranc fracture-dislocations with primary arthrodesis
| Authors | Year | Comments |
|---|---|---|
| Reinhardt et al55 | 2012 | Treatment of both primarily ligamentous and combined osseous and ligamentous Lisfranc injuries with partial partial arthrodesis produced good clinical and patient-based results. Twenty-five patients (12 ligamentous, 13 combined), median age 46 years, were followed for an average of 42 months. At the last follow-up, patients reported an average return to 85% of their pre-injury activity level. Twenty-one patients (84%) expressed satisfaction with their result; at the latest follow-up, the mean VAS score was 1.8 out of 10. Three patients showed radiographic signs of post-traumatic OA of adjacent joints. |
| MacMahon et al56 | 2016 | Thirty-eight patients were analysed. Mean age at surgery was 31.8 years and mean follow-up was 5.2 years. Pre-operatively, 47.1% were high-impact, and post-operatively, 44.8% were high-impact. Most patients were able to return to their previous physical activities following partial primary arthrodesis for a Lisfranc injury, many of which were high-impact. However, the decreased participation or increase in difficulty of some activities suggested that some patients experienced post-operative limitations in exercise. Compared to pre-operatively, perceived difficulty was the same in 66% and increased in 34% of physical activities. Participation levels were improved in 11%, the same in 64% and impaired in 25% of physical activities. In regard to return to physical activity, 97% of respondents were satisfied with their operative outcome. |
| Lui et al57 | 2016 | This article describes a minimally invasive approach of arthroscopic arthrodesis of the involved TMT joints. The arthroscopic procedure was performed through the junction portals of the involved articulation. It had the advantages of better cosmesis, less wound complication, less bone resection and more thorough joint debridement. However, it was contra-indicated if there was an associated significant foot deformity or shortening of the involved foot rays. |
VAS, visual analogue scale; OA, osteoarthritis; TMT, tarsometatarsal.