- Keywords
- Amnioderm,
- MeSH
- Amnion MeSH
- Biological Dressings MeSH
- Dermatologic Agents therapeutic use MeSH
- Diabetic Foot * drug therapy therapy MeSH
- Wound Healing * MeSH
- Comorbidity MeSH
- Foot Injuries MeSH
- Aged MeSH
- Check Tag
- Aged MeSH
- Publication type
- Case Reports MeSH
- Keywords
- Amnioderm,
- MeSH
- Amnion MeSH
- Biological Dressings MeSH
- Dermatologic Agents therapeutic use MeSH
- Diabetic Foot * therapy MeSH
- Wound Healing * MeSH
- Comorbidity MeSH
- Humans MeSH
- Skin Care methods MeSH
- Foot Injuries therapy MeSH
- Aged MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged MeSH
- Publication type
- Case Reports MeSH
PURPOSE OF THE STUDY: Lisfranc is a challenging injury both diagnostically and surgically, with sparse long-term literature evidence of surgical practice. We aim to review our long-term specialist orthopaedic institutional experience of Lisfranc injuries and the surgical management of this complex injury, specifically considering surgical outcomes as per radiological and clinical assessment. MATERIAL AND METHODS: We present data from a prospectively maintained institutional database, reviewing patients who underwent operative fixation for Lisfranc injury between April 2014 and August 2020. Patients were referred to our institution from hospitals across the country. We included all operatively managed Lisfranc injuries, primary procedures, and patients over the age of 16. Revision procedures, open injuries, polytrauma patients, patients under the age of 16, and those with multiple foot injuries were excluded. We assessed post-operative results as per the Wilpulla radiographic and clinical criteria. RESULTS: We treated 27 patients across the study period, of mean age 37.5 (SD 18.3), 55% male and 45% female. 33.3% of our patients were obese as defined by body mass index >30. As per the Myerson classification, we had 2 category A, 24 category B, and 1 category C injuries. Time to operation was median 14 days (range 0-116), with 2 delayed presentations following failure of conservative treatment. Our median length of stay was 1 day (range 0-16). We had 3 complications: 2 wound infections and 1 re-operation for non-union. Post-operative assessment as per Wilpulla demonstrated 74% of good, 18.5% fair and 7% poor fixation results. CONCLUSIONS: In our institutional experience, partial congruity lateral displacement injuries were the majority of surgical referrals. Surgical treatment through open reduction and internal fixation delivers good clinical and radiographically anatomical results. Further to conventional mechanisms of injury, we propose obesity to be an important risk factor for indirect, low-energy injuries that may help identify this injury. KEY WORDS: Lisfranc injury, long-term, orthopaedic surgery, obesity.
- MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Metatarsal Bones injuries surgery diagnostic imaging MeSH
- Young Adult MeSH
- Postoperative Complications etiology MeSH
- Foot Injuries surgery diagnostic imaging MeSH
- Retrospective Studies MeSH
- Fracture Fixation, Internal * methods MeSH
- Treatment Outcome MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- MeSH
- Achilles Tendon injuries MeSH
- Electric Stimulation Therapy * methods instrumentation MeSH
- Humans MeSH
- Tibial Nerve injuries MeSH
- Foot Injuries * pathology therapy MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Ankle MeSH
- Humans MeSH
- Orthopedic Procedures methods MeSH
- Ankle Injuries * diagnosis classification complications therapy MeSH
- Foot Injuries diagnosis classification complications therapy MeSH
- Tarsal Bones injuries MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Arterial Occlusive Diseases complications MeSH
- Diabetic Foot * complications therapy MeSH
- Wound Healing * MeSH
- Humans MeSH
- Foot Injuries complications therapy MeSH
- Aged MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Gangrene * complications therapy MeSH
- Wound Healing MeSH
- Diabetes Complications * therapy MeSH
- Humans MeSH
- Foot Injuries complications therapy MeSH
- Aged, 80 and over MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Publication type
- Case Reports MeSH
Fifth Edition 2 svazky
»: Fractures of the proximal fifth metatarsal (PFMT) are one of the most common foot injuries, accounting for 61% to 78% of all foot fractures, but full consensus on their classification, diagnosis, and treatment has not yet been reached. »: The most commonly accepted classification is that of Lawrence and Botte, who divided the location of PFMT fractures into 3 zones with respect to their healing potential. »: Avulsion fractures of the tuberosity of the base (zone 1) generally heal well, and nonoperative treatment is commonly recommended. »: Internal fixation may be considered for displaced fractures that extend into the fourth-fifth intermetatarsal joint (zone 2) as well as for nondisplaced fractures in athletes or high-demand patients, with the aims of reducing the healing time and expediting return to sport or work. »: Stress fractures of the proximal diaphysis (zone 3) are preferably treated operatively, particularly in the presence of signs of delayed union. With nonoperative treatment, supportive measures such as ultrasonography or external/extracorporeal shockwave therapy have been demonstrated to have limited potential for the enhancement of fracture-healing.
- Keywords
- laloková plastika,
- MeSH
- Achilles Tendon surgery pathology MeSH
- Leg surgery diagnostic imaging pathology MeSH
- Surgical Flaps * surgery adverse effects MeSH
- Lower Extremity anatomy & histology surgery diagnostic imaging blood supply pathology injuries MeSH
- Femur surgery diagnostic imaging pathology injuries MeSH
- Fractures, Bone surgery diagnostic imaging pathology MeSH
- Upper Extremity anatomy & histology surgery diagnostic imaging blood supply pathology injuries MeSH
- Humerus anatomy & histology surgery diagnostic imaging blood supply MeSH
- Clavicle surgery MeSH
- Extremities anatomy & histology surgery diagnostic imaging blood supply pathology injuries MeSH
- Muscle, Skeletal surgery MeSH
- Foot Bones anatomy & histology surgery diagnostic imaging blood supply injuries MeSH
- Humans MeSH
- Metacarpal Bones surgery diagnostic imaging MeSH
- Metacarpus surgery diagnostic imaging MeSH
- Metatarsophalangeal Joint surgery MeSH
- Foot anatomy & histology surgery diagnostic imaging blood supply pathology MeSH
- Orthopedic Procedures methods adverse effects MeSH
- Osteomyelitis surgery MeSH
- Calcaneus anatomy & histology surgery diagnostic imaging blood supply pathology injuries MeSH
- Surgery, Plastic methods adverse effects MeSH
- Lunate Bone surgery diagnostic imaging MeSH
- Leg Injuries surgery diagnostic imaging pathology MeSH
- Foot Injuries surgery diagnostic imaging pathology MeSH
- Forearm Injuries surgery diagnostic imaging MeSH
- Finger Injuries surgery diagnostic imaging pathology MeSH
- Hand Injuries surgery diagnostic imaging pathology MeSH
- Fingers surgery diagnostic imaging blood supply pathology transplantation MeSH
- Pseudarthrosis surgery diagnostic imaging MeSH
- Hand surgery diagnostic imaging pathology MeSH
- Thigh surgery diagnostic imaging pathology injuries MeSH
- Talus anatomy & histology surgery diagnostic imaging injuries MeSH
- Tarsal Bones surgery diagnostic imaging pathology MeSH
- Plastic Surgery Procedures methods adverse effects MeSH
- Wrist anatomy & histology diagnostic imaging innervation MeSH
- Check Tag
- Humans MeSH
- Publication type
- Case Reports MeSH
- Review MeSH
