Abstract / Description of output
»: There is a spectrum of midtarsal injuries, ranging from mild midfoot sprains to complex Lisfranc fracture-dislocations.
»: Use of appropriate imaging can reduce patient morbidity, by reducing the number of missed diagnoses and, conversely, avoiding overtreatment. Weight-bearing radiographs are of great value when investigating the so-called subtle Lisfranc injury.
»: Regardless of the operative strategy, anatomical reduction and stable fixation is a prerequisite for a satisfactory outcome in the management of displaced injuries.
»: Fixation device removal is less frequently reported after primary arthrodesis compared with open reduction and internal fixation based on 6 published meta-analyses. However, the indications for further surgery are often unclear, and the evidence of the included studies is of typically low quality. Further high-quality prospective randomized trials with robust cost-effectiveness analyses are required in this area.
»: We have proposed an investigation and treatment algorithm based on the current literature and clinical experience of our trauma center.
Original language | English |
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Article number | e22.00239 |
Journal | JBJS Reviews |
Volume | 11 |
Issue number | 4 |
DOIs | |
Publication status | Published - 1 Apr 2023 |
Keywords / Materials (for Non-textual outputs)
- Humans
- Fractures, Bone/diagnostic imaging
- Prospective Studies
- Fracture Fixation, Internal/methods
- Open Fracture Reduction/methods
- Radiography