title: Outcome comparison of Lisfranc injuries treated through dorsal plate fixation versus screw fixation.
abstract: OBJECTIVE
  The objective of this prospective study was to test whether the treatment of Lisfranc injuries with open reduction and dorsal plate fixation would have the same or better functional outcomes as treatment with standard trans-articular screw fixation.
  
  
  METHODS
  Sixty patients with primarily isolated Lisfranc joint injury were treated by open reduction and dorsal plate fixation or standard screw fixation. The patients were followed on average for 31 months. Evaluation was performed with patients' chief complaint, clinical examination, radiography, and AOFAS Midfoot Scale.
  
  
  RESULTS
  Thirty two patients were treated with open reduction and dorsal plate fixation, and twenty eight patients were treated with open reduction and screw fixation. After two years follow-up, the mean AOFAS Midfoot score was 83.1 points in the dorsal plate fixation group and 78.5 points in the screw fixation group (p<0.01). Of the dorsal plate fixation group, radiographic analysis revealed anatomic reduction in twenty-nine patients (90.6%, 29/32) and nonanatomic reduction in three patients. Of the screw fixation group, radiographic analysis revealed anatomic reduction in twenty-three patients and nonanatomic reduction in five patients (82.1%, 23/28).
  
  
  CONCLUSIONS
  Open reduction and dorsal plate fixation for a dislocated Lisfranc injury do have better short and median term outcome and a lower reoperation rate than standard screw ORIF. In our experience, we recommend using dorsal plate in ORIF on dislocated Lisfranc injuries. Level of Evidence II, Prospective Comparative Study.
authors.affiliation: Tongji University, School of Medicine, Yangpu Hospital, People's Republic of China, Department of Orthopedic Surgery, Yangpu Hospital, Tongji University School of Medicine, People's Republic of China.
authors.forename: Sun-Jun
authors.initials: SJ
authors.lastname: Hu
authors.affiliation: Tongji University, School of Medicine, Yangpu Hospital, People's Republic of China, Department of Orthopedic Surgery, Yangpu Hospital, Tongji University School of Medicine, People's Republic of China.
authors.forename: Shi-Min
authors.initials: SM
authors.lastname: Chang
authors.affiliation: Tongji University, School of Medicine, Yangpu Hospital, People's Republic of China, Department of Orthopedic Surgery, Yangpu Hospital, Tongji University School of Medicine, People's Republic of China.
authors.forename: Xiao-Hua
authors.initials: XH
authors.lastname: Li
authors.affiliation: Tongji University, School of Medicine, Tongji Hospital, People's Republic of China, Department of Orthopedic Surgery, Tongji Hospital, Tongji University School of Medicine, People's Republic of China.
authors.forename: Guang-Rong
authors.initials: GR
authors.lastname: Yu
keywords: Arthrodesis; Bone screw; Internal fixators; Tarsal joints