Minimally Invasive Medial Plating of Low-Energy Lisfranc Injuries: Preliminary Experience with Five Cases
Fracture dislocations involving the Lisfranc joint are rare; they represent only 0.2% of all the fractures. There is no consensus about the surgical management of these lesions in the medical literature. However, both anatomical reduction and tarsometatarsal stabilization are essential for a good ou...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/4861260 |
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| _version_ | 1832551907367845888 |
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| author | Jorge Javier del Vecchio Mauricio Ghioldi Nicolás Raimondi Manuel De Elias |
| author_facet | Jorge Javier del Vecchio Mauricio Ghioldi Nicolás Raimondi Manuel De Elias |
| author_sort | Jorge Javier del Vecchio |
| collection | DOAJ |
| description | Fracture dislocations involving the Lisfranc joint are rare; they represent only 0.2% of all the fractures. There is no consensus about the surgical management of these lesions in the medical literature. However, both anatomical reduction and tarsometatarsal stabilization are essential for a good outcome. In this clinical study, five consecutive patients with a diagnosis of Lisfranc low-energy lesion were treated with a novel surgical technique characterized by minimal osteosynthesis performed through a minimally invasive approach. According to the radiological criteria established, the joint reduction was anatomical in four patients, almost anatomical in one patient (#4), and nonanatomical in none of the patients. At the final follow-up, the AOFAS score for the midfoot was 96 points (range, 95–100). The mean score according to the VAS (Visual Analog Scale) at the end of the follow-up period was 1.4 points over 10 (range, 0–3). The surgical technique described in this clinical study is characterized by the use of implants with the utilization of a novel approach to reduce joint and soft tissue damage. We performed a closed reduction and minimally invasive stabilization with a bridge plate and a screw after achieving a closed anatomical reduction. |
| format | Article |
| id | doaj-art-d1b8066a527646ada2ae444ab5614c63 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-d1b8066a527646ada2ae444ab5614c632025-02-03T06:00:06ZengWileyAdvances in Orthopedics2090-34642090-34722016-01-01201610.1155/2016/48612604861260Minimally Invasive Medial Plating of Low-Energy Lisfranc Injuries: Preliminary Experience with Five CasesJorge Javier del Vecchio0Mauricio Ghioldi1Nicolás Raimondi2Manuel De Elias3Favaloro Foundation University Hospital, 461 Solis Street, 1st Floor, 1078 Ciudad Autónoma de Buenos Aires, ArgentinaFavaloro Foundation University Hospital, 461 Solis Street, 1st Floor, 1078 Ciudad Autónoma de Buenos Aires, ArgentinaFavaloro Foundation University Hospital, 461 Solis Street, 1st Floor, 1078 Ciudad Autónoma de Buenos Aires, ArgentinaAustral University Hospital, 1500 Presidente Perón Avendia, 1629 Pilar, ArgentinaFracture dislocations involving the Lisfranc joint are rare; they represent only 0.2% of all the fractures. There is no consensus about the surgical management of these lesions in the medical literature. However, both anatomical reduction and tarsometatarsal stabilization are essential for a good outcome. In this clinical study, five consecutive patients with a diagnosis of Lisfranc low-energy lesion were treated with a novel surgical technique characterized by minimal osteosynthesis performed through a minimally invasive approach. According to the radiological criteria established, the joint reduction was anatomical in four patients, almost anatomical in one patient (#4), and nonanatomical in none of the patients. At the final follow-up, the AOFAS score for the midfoot was 96 points (range, 95–100). The mean score according to the VAS (Visual Analog Scale) at the end of the follow-up period was 1.4 points over 10 (range, 0–3). The surgical technique described in this clinical study is characterized by the use of implants with the utilization of a novel approach to reduce joint and soft tissue damage. We performed a closed reduction and minimally invasive stabilization with a bridge plate and a screw after achieving a closed anatomical reduction.http://dx.doi.org/10.1155/2016/4861260 |
| spellingShingle | Jorge Javier del Vecchio Mauricio Ghioldi Nicolás Raimondi Manuel De Elias Minimally Invasive Medial Plating of Low-Energy Lisfranc Injuries: Preliminary Experience with Five Cases Advances in Orthopedics |
| title | Minimally Invasive Medial Plating of Low-Energy Lisfranc Injuries: Preliminary Experience with Five Cases |
| title_full | Minimally Invasive Medial Plating of Low-Energy Lisfranc Injuries: Preliminary Experience with Five Cases |
| title_fullStr | Minimally Invasive Medial Plating of Low-Energy Lisfranc Injuries: Preliminary Experience with Five Cases |
| title_full_unstemmed | Minimally Invasive Medial Plating of Low-Energy Lisfranc Injuries: Preliminary Experience with Five Cases |
| title_short | Minimally Invasive Medial Plating of Low-Energy Lisfranc Injuries: Preliminary Experience with Five Cases |
| title_sort | minimally invasive medial plating of low energy lisfranc injuries preliminary experience with five cases |
| url | http://dx.doi.org/10.1155/2016/4861260 |
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