title: Return to Sports and Physical Activities After Primary Partial Arthrodesis for Lisfranc Injuries in Young Patients.
abstract: BACKGROUND
  Research regarding outcomes in sports and physical activities after primary partial arthrodesis for Lisfranc injuries has been sparse. The purposes of this study were to assess various sports and physical activities in young patients following primary partial arthrodesis for Lisfranc injuries and to compare these with clinical outcomes.
  
  
  METHODS
  Patients who underwent primary partial arthrodesis for a Lisfranc injury were identified by a retrospective registry review. Thirty-eight of 46 eligible patients (83%) responded for follow-up at a mean of 5.2 (range, 1.0 to 9.3) years with a mean age at surgery of 31.8 (range, 16.8 to 50.3) years. Physical activity participation was assessed with a new sports-specific, patient-administered questionnaire. Clinical outcomes were assessed with the Foot and Ankle Outcome Score (FAOS).
  
  
  RESULTS
  Patients participated in 29 different and 155 total physical activities preoperatively, and 27 different and 145 total physical activities postoperatively. Preoperatively, 47.1% were high impact, and postoperatively, 44.8% were high impact. The most common activities were walking, bicycling, running, and weightlifting. Compared to preoperatively, difficulty was the same in 66% and increased in 34% of physical activities. Participation levels were improved in 11%, the same in 64%, and impaired in 25% of physical activities. Patients spent on average 4.2 (range, 0.0 to 19.8) hours per week exercising postoperatively. In regard to return to physical activity, 97% of respondents were satisfied with their operative outcome. Mean postoperative FAOS subscores were significantly worse for patients who had increased physical activity difficulty.
  
  
  CONCLUSIONS
  Most patients were able to return to their previous physical activities following primary partial arthrodesis for a Lisfranc injury, many of which were high-impact. However, the decreased participation or increase in difficulty of some activities suggests that some patients experienced postoperative limitations in exercise. Future studies could compare sports outcomes between primary partial arthrodesis and open reduction internal fixation for Lisfranc injuries.
  
  
  METHODS
  Level IV, retrospective case series.
authors.affiliation: Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA.
authors.forename: Aoife
authors.initials: A
authors.lastname: MacMahon
authors.affiliation: Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Kim
authors.affiliation: Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA.
authors.forename: David S
authors.initials: DS
authors.lastname: Levine
authors.affiliation: Department of Epidemiology and Biostatistics, Hospital for Special Surgery, NY, USA.
authors.forename: Jayme
authors.initials: J
authors.lastname: Burket
authors.affiliation: Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA.
authors.forename: Matthew M
authors.initials: MM
authors.lastname: Roberts
authors.affiliation: Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA.
authors.forename: Mark C
authors.initials: MC
authors.lastname: Drakos
authors.affiliation: Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA.
authors.forename: Jonathan T
authors.initials: JT
authors.lastname: Deland
authors.affiliation: Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Elliott
authors.affiliation: Department of Foot and Ankle Surgery, Hospital for Special Surgery, NY, USA elliss@hss.edu.
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Ellis
mesh_terms: D000293:Adolescent; D000328:Adult; D001174:Arthrodesis / Q000379:methods*; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D033023:Foot Joints / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008022:Ligaments / Q000293:injuries / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012042:Registries; D012189:Retrospective Studies; D000068958:Return to Sport / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Lisfranc injury; arthrodesis; outcome studies; sports; trauma