title: Treatment of Lisfranc fracture-dislocations with primary partial arthrodesis.
abstract: BACKGROUND
  The optimal method of treatment for Lisfranc fracture-dislocations remains controversial, and the role of primary partial arthrodesis for combined osseous-ligamentous Lisfranc injuries is unclear. This study reviewed the outcomes of Lisfranc injuries treated by primary partial arthrodesis.
  
  
  METHODS
  Patients who underwent primary partial arthrodesis for a primarily ligamentous or combined osseous and ligamentous Lisfranc fracture-dislocation were reviewed retrospectively and assessed at followup according to radiographic, clinical and standardized patient-based outcomes. Twenty-five patients (12 ligamentous, 13 combined), median age of 46 (range, 20 to 73) years, were followed for an average of 42 (range, 24 to 96) months.
  
  
  RESULTS
  The average American Orthopedic Foot and Ankle Society (AOFAS) score was 81 points (scale 0 to 100), with patients in general losing points for mild pain, limitations of recreational activities, and fashionable footwear requirements. There was no statistical difference between ligamentous and combined injuries with regard to the physical or mental component scores on the SF-36. At latest followup, patients reported an average return to 85% of their preinjury activity level (range, 50% to 100%). Twenty-one patients (84%) expressed satisfaction with their outcome and at latest followup, the mean visual analog pain scale (VAS) score was 1.8 out of 10 (range, 0 to 8). Three patients showed radiographic signs of post-traumatic arthritis of adjacent joints.
  
  
  CONCLUSIONS
  Treatment of both primarily ligamentous and combined osseous and ligamentous lisfranc injuries with primary partial arthrodesis produced good clinical and patient-based outcomes.
authors.affiliation: Hospital for Special Surgery, Orthopaedic Surgery, New York, NY 10021, USA. krr9009@gmail.com
authors.forename: Keith R
authors.initials: KR
authors.lastname: Reinhardt
authors.forename: Luke S
authors.initials: LS
authors.lastname: Oh
authors.forename: Patrick
authors.initials: P
authors.lastname: Schottel
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Roberts
authors.forename: David
authors.initials: D
authors.lastname: Levine
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001174:Arthrodesis / Q000379:methods*; D004185:Disability Evaluation; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries* / Q000601:surgery*; D008875:Middle Aged; D010147:Pain Measurement; D020127:Recovery of Function; D018709:Statistics, Nonparametric; D013639:Tarsal Bones / Q000293:injuries* / Q000601:surgery*; D016896:Treatment Outcome