Journal ArticleDOI
Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment.
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TLDR
Of the various treatment modalities, open reduction and internal fixation with Kirschner wires yielded the best results, but results were often poor and the major determinant of unacceptable results was identified as the quality of the initial reduction.Abstract:
Seventy-two patients with 76 fracture-dislocations of the Lisfranc tarsometatarsal joint complex were evaluated. Fifty-eight (81%) were polytrauma patients and the remainder suffered isolated injuries. Sixty of the original 72 patients were available for long-term study. Eight of these had an amputation at or shortly after the original admission, leaving 52 patients with 55 Lisfranc injuries for analysis. The average length of follow-up was 4.2 years (range, 20 months to 11 years). According to the Painful Foot Center scoring system, 27 feet (49%) achieved an excellent or good result and 28 (51%), a fair or poor result. Direct crush injuries did poorly with only one of eight scoring good or excellent. Of the various treatment modalities, open reduction and internal fixation with Kirschner wires yielded the best results. The major determinant of unacceptable results was identified as the quality of the initial reduction. Tarsal instability and late degenerative joint disease caused most of the symptoms. Twenty-three of the 52 patients (44%) have had or should have further mid-foot surgery to improve function and comfort. Because our results were often poor, our present protocol includes closed or open reduction and Kirschner wire internal fixation. Displacement greater than 2 mm or a talometatarsal angle greater than 15 degrees on radiographs following a closed reduction mandates open reduction.read more
Citations
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Journal ArticleDOI
Clinical Rating Systems for the Ankle-Hindfoot, Midfoot, Hallux, and Lesser Toes
Harold B. Kitaoka,Ian J. Alexander,Robert S. Adelaar,James A. Nunley,Mark S. Myerson,Melanie Sanders +5 more
TL;DR: Four rating systems were developed by the American Orthopaedic Foot and Ankle Society to provide a standard method of reporting clinical status of the ankle and foot.
Journal ArticleDOI
Outcome after open reduction and internal fixation of Lisfranc joint injuries.
R. S. Kuo,Nirmal C. Tejwani,Christopher W. DiGiovanni,Sarah K. Holt,Stephen K. Benirschke,Sigvard T. Hansen,Bruce J. Sangeorzan +6 more
TL;DR: The concept that stable anatomical reduction of fracture-dislocations of the Lisfranc joint leads to the best long-term outcomes as patients so treated have less arthritis as well as better AOFAS midfoot scores is supported.
Journal ArticleDOI
Classification, Investigation, and Management of Midfoot Sprains Lisfranc Injuries in the Athlete
TL;DR: Restoration and maintenance of the anatomic alignment of the Lisfranc joint is the key to appropriate treatment of injury to the midfoot.
Reference EntryDOI
Interventions for treating plantar heel pain
Fay Crawford,Colin E Thomson +1 more
TL;DR: The effectiveness of other frequently employed treatments in altering the clinical course of plantar heel pain has not been established in comparative studies and well designed and conducted randomised studies are required.
Journal ArticleDOI
Ultrasound-guided extracorporeal shock wave therapy for plantar fasciitis: a randomized controlled trial.
Rachelle Buchbinder,Ronnie Ptasznik,Jeanine Gordon,Joylene Buchanan,Vasuki Prabaharan,Andrew Forbes +5 more
TL;DR: It is found that there is no evidence to support a beneficial effect on pain, function, and quality of life of ultrasound-guided ESWT over placebo in patients with ultrasound-proven plantar fasciitis 6 and 12 weeks following treatment.
References
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Journal ArticleDOI
Injuries to the tarsometatarsal joint. Incidence, classification and treatment
TL;DR: In this paper, the authors made a retrospective study of 119 patients with injuries of the Lisfranc joint and suggested that these injuries should be classified according to the type of injury rather than the nature of deforming force and that their treatment be based upon this classification.
Journal ArticleDOI
Lisfranc's fracture-dislocations: etiology, radiology, and results of treatment. A review of 20 cases.
M Goossens,N De Stoop +1 more
TL;DR: A review of 20 cases shows that plaster cast immobilization without reduction is unsatisfactory, often resulting in Südeck's atrophy and subsequent painful degenerative arthritis.
Journal ArticleDOI
Management of post-traumatic instability of the wrist secondary to ligament rupture.
TL;DR: A retrospective review of 55 patients with post-traumatic radioscapholunate ligament disruption suggests that rupture of this ligament can be treated successfully if certain guidelines are followed and results after ligament reconstruction have ranged from good to fair.
Journal ArticleDOI
Dislocations of the Tarsometatarsal Joint
Alexander P. Aitken,Don Poulson +1 more
TL;DR: In this series none of the dislocations, not even the persistent widespread ones, caused symptoms that suggested the need for surgical fusion, and it is believed open reduction provides a better looking foot and appreciably hastens convalescence.