Lisfranc injuries in children and adolescents.
In this descriptive analysis of pediatric Lisfranc injuries, records of 56 children treated for bony or ligamentous Lisfranc injuries over a 12-year period were reviewed. Overall, 51% of fractures and 82% of sprains were sports-related (P=0.03). A total of 34% of the cohort underwent open reduction internal fixation, which was more common among patients with closed physes (67%). Full weight bearing was allowed in open reduction internal fixation patients at a mean of 14.5 weeks, compared to 6.5 weeks in the nonoperative group. Complications were rare (4%) and included physeal arrest in one patient and a broken, retained implant in one patient.
aDepartment of Orthopaedics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas bDepartment of Orthopaedics, Children's Hospital, Harvard Medical School cDepartment of Orthopaedic Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
Jaclyn F
JF
Hill
Benton E
BE
Heyworth
Anneliese
A
Lierhaus
Mininder S
MS
Kocher
Susan T
ST
Mahan
D000293:Adolescent; D001174:Arthrodesis; D001863:Bone Screws; D002648:Child; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008682:Metatarsal Bones / Q000601:surgery*; D009985:Orthopedics; D012189:Retrospective Studies; D013180:Sprains and Strains / Q000601:surgery*; D013640:Tarsal Joints / Q000601:surgery*; D016896:Treatment Outcome