Fracture dislocations of Lisfranc's joint treated with closed reduction and percutaneous fixation.
We reviewed 42 patients (mean age 37.7+/-14.2 years) with closed fracture dislocations of Lisfranc's joint treated with percutaneous screw fixation. Mean follow-up was 58.4+/-17.3 months. The aim was to compare dislocations in which a perfect anatomical reduction had been reached with dislocations in which reduction was only near anatomical. The mean American Orthopaedic Foot and Ankle Society score for all patients was 81.0+/-13.5. There were no significant differences in outcome scores between patients with perfect anatomical reduction and patients with near anatomical reduction. However, patients with combined fracture dislocations obtained statistically better scores than patients with pure dislocations.
Perugia
Dario
D
Università Tor Vergata, Via G.A. Plana, 13, 00197, Rome, Italy. darioperugia@tiscalinet.it
Basile
Attilio
A
Battaglia
Alberto
A
Stopponi
Marcello
M
De Simeonibus
Angelo Ugo Minniti
AU
D000293:Adolescent; D000328:Adult; D001863:Bone Screws; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000295:instrumentation* / Q000379:methods; D005596:Fractures, Closed / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010147:Pain Measurement; D011336:Probability; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D013640:Tarsal Joints / Q000000981:diagnostic imaging / Q000293:injuries*; D016896:Treatment Outcome