Percutaneous Reduction and 2.7-mm Cortical Screw Fixation for Low-Energy Lisfranc Injuries

2020 ◽  
Vol 59 (5) ◽  
pp. 914-918 ◽  
Author(s):  
Young Hwan Park ◽  
Jeong Hwan Ahn ◽  
Gi Won Choi ◽  
Hak Jun Kim
Keyword(s):  
Screw Fixation ◽  
Low Energy ◽  
Percutaneous Reduction ◽  
Cortical Screw ◽  
Lisfranc Injuries

Outcomes After Percutaneous Reduction and Fixation of Low-Energy Lisfranc Injuries

2017 ◽  
Vol 38 (7) ◽  
pp. 710-715 ◽  
Author(s):  
Michael Vosbikian ◽  
Joseph T. O’Neil ◽  
Christine Piper ◽  
Ronald Huang ◽  
Steven M. Raikin
Keyword(s):  
Minimally Invasive ◽  
Motor Vehicle ◽  
Case Series ◽  
Low Energy ◽  
Invasive Technique ◽  
Functional Level ◽  
Percutaneous Reduction ◽  
Objective Evidence ◽  
Lisfranc Injuries

Background: Lisfranc injuries are often missed initially or not anatomically reduced, leading to midfoot collapse, arthrosis, and pain. Operative management of these injuries is also fraught with complications, particularly with respect to the soft tissues. Wound dehiscence and infection are not uncommon. The goal of this study was to analyze the outcomes of a minimally invasive technique in reduction and percutaneous fixation of low-energy minimally displaced Lisfranc injuries and determine if it is a safe alternative to more traditional, open approaches. Methods: A retrospective review was performed for all patients who underwent minimally invasive Lisfranc treatment at a single institution over a 6-year period. Thirty-eight patients were identified in this series. All patients were skeletally mature and had a minimum follow-up of 3 years. Patients were assessed clinically and radiographically, in addition to undertaking patient-centric outcome scoring using the Foot and Ankle Ability Measure (FAAM) activities of daily living (ADL) and sports subscales at a mean follow-up of 66 months (range, 36-100). Patients were also asked to subjectively rate their percentage return to preinjury functional level at the time of final follow-up. There were 20 males and 18 females. Seventeen patients were injured participating in sports-related activities, 19 during falls, and 2 as a result of motor vehicle accidents. The average age at the time of surgery was 34.2 (range, 16-69) years. At final follow-up, 31 patients were available for assessment (81.6%). Results: The mean FAAM-ADL score was 94.2 (range, 40.5-100), and sports score was 90.4 (range, 0-100). Percentage recovery compared to their preinjury functional level averaged 91.4% (range, 40%-100%). There were no complications in this series. Twenty-two patients underwent screw removal electively at an average of 6.9 months following the index procedure. No patients had undergone any additional operative procedures, or had any objective evidence of midfoot collapse or arthritis at the time of final follow-up. Conclusion: Minimally invasive methods of treating low-energy Lisfranc injuries with less soft tissue stripping and disruption, as described in this series, were a valuable tool to optimize outcomes while minimizing the potential morbidity of more traditional, open techniques. Level of Evidence: Level IV, retrospective case series.

Early Weight-Bearing After Percutaneous Reduction and Screw Fixation for Low-Energy Lisfranc Injury

2013 ◽  
Vol 34 (7) ◽  
pp. 978-983 ◽  
Author(s):  
Emilio Wagner ◽  
Cristian Ortiz ◽  
Ignacio E. Villalón ◽  
Andrés Keller ◽  
Pablo Wagner
Keyword(s):  
Screw Fixation ◽  
Weight Bearing ◽  
Low Energy ◽  
Early Weight Bearing ◽  
Lisfranc Injury ◽  
Percutaneous Reduction

scholarly journals Percutaneous Cortical Screw Fixation as a Method for Posterior Spinal Stabilization

2019 ◽  
Vol 4 (1) ◽  
pp. 24-28
Author(s):  
Andrew S Jack ◽  
Wyatt L Ramey ◽  
Rod J Oskouian ◽  
Robert A Hart ◽  
Jeffrey S Roh
Keyword(s):  
Screw Fixation ◽  
Spinal Stabilization ◽  
Cortical Screw

scholarly journals Tibial Tuberosity Transposition Stabilization Using a Cortical Screw Placed Adjacent to the Tuberosity in Dogs with Patellar Luxation

VCOT Open ◽  
2019 ◽  
Vol 02 (01) ◽  
pp. e43-e49
Author(s):  
Barbro Filliquist ◽  
Sivert Viskjer ◽  
Susan M. Stover
Keyword(s):  
Medical Records ◽  
Screw Fixation ◽  
Tibial Tuberosity ◽  
Fixation Method ◽  
Bone Screw ◽  
Cortical Screw ◽  
Implant Complications ◽  
Tibial Tuberosity Fracture ◽  
Fracture Development ◽  
Fissure Formation

Objectives The aim of this study was to describe a screw fixation method of the tibial tuberosity after transposition during surgical treatment of patellar luxation and to report complications and outcome of the procedure. Materials and Methods Medical records (2010–2016) of dogs treated for patellar luxation with tibial tuberosity transposition stabilization using a cortical bone screw placed adjacent to the tuberosity were retrospectively reviewed. Radiographs acquired immediately after surgery were evaluated for fissures. Proximal tibial dimensions and tibial tuberosity segments were measured. Intraoperative and postoperative complications were recorded. Results One-hundred and six dogs and 131 stifle surgeries were included. Implant complications associated with the screw occurred in 2/106 dogs (1.9%). Two dogs developed tibial tuberosity fracture and proximal displacement within 1 week of surgery and required stabilization with pin and tension band. Patellar reluxation rate following surgery was 6.9% (9/131 procedures). Presence of a fissure on postoperative radiographs increased the odds of tibial tuberosity fracture development (p < 0.001), while greater tibial tuberosity size (p = 0.023) and larger distal cortical attachment (p = 0.018) decreased the odds of fissure formation. Clinical significance Tibial tuberosity transposition can be achieved with a cortical screw placed lateral or medial to the tibial tuberosity.

scholarly journals The Development of Heterotopic Ossification Following Ankle Fracture Syndesmotic Screw Fixation

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0044
Author(s):  
Benjamin R. Williams ◽  
Paul M. Lafferty
Keyword(s):  
Risk Factors ◽  
Heterotopic Ossification ◽  
Ankle Fracture ◽  
Screw Fixation ◽  
Low Energy ◽  
Ankle Fractures ◽  
Factors Associated ◽  
Syndesmotic Screw ◽  
The Mean

Category: Ankle, Trauma Introduction/Purpose: Syndesmotic fixation with screws is commonly used for ankle fractures with syndesmotic disruption. Few studies have reported the development of heterotopic ossification (HO) within the syndesmosis following ankle injuries, which may lead to abnormal joint kinematics and even joint synostosis. However, there is little data on the prevalence and on the risk factors associated with the development of HO. The purpose of this study is to determine the (1) prevalence and (2) risk factors associated with the development of HO within the distal tibiofibular syndesmosis following ankle fractures requiring syndesmotic fixation. We hypothesized that screws within the syndesmosis articulation and broken screws would be associated with a higher incidence of HO than extraarticular and intact screws, respectively. Methods: A retrospective review was conducted for patients who sustained an ankle fracture with syndesmotic disruption. Inclusion criteria: age between 18 and 65 years old, a closed ankle fracture treated operatively with syndesmotic screw fixation. Exclusion criteria: additional lower extremity injury, history of prior ankle fracture, lack of radiographic follow-up and fixation other than 1 or 2 syndesmosis screws. Medical records were reviewed for: age, sex, high or low energy injury mechanism, smoking status, diabetes, BMI, perioperative complications, and further procedures. Fractures were classified by Lauge-Hansen and Weber systems. Immediate postoperative radiographs were reviewed for the number of syndesmotic screws, whether screws were intraarticular or extraarticular and the number of cortices each screw crossed. Final postoperative radiographs were reviewed for retention or screw removal and the presence of HO. The presence of HO was defined as new or increased bone formation within the syndesmosis compared to immediate postoperative radiographs. Results: Included were 264 patients, mean radiographic follow-up of 10.5+/-10.2 months. The mean age was 39.2+/-12.6 years (38.7% female) with a mean BMI of 32.1+/-7.8. Current smokers made up 39.4% of patients and 10.6% were diabetic. The mean time to fracture fixation was 12.6+/-3.2 days and 198 patients (75%) had a low energy injury. There was no significant difference in HO formation for demographics, injury mechanism or time to fixation. Overall, HO developed in 160 patients (60.6%). There was no difference, additionally for fracture pattern, number screws or fixation construct (Table 1). HO developed in 92% of broken, 75% of loose and 44% of intact screws (P<0.001). Screws were removed in 107 patients (40.5%) with no difference in HO formation compared to patients with intact screws. Conclusion: Heterotopic ossification is commonplace following screw fixation for syndesmotic injuries with a prevalence of 60.6%. Broken screws and loosened screws are a significant risk factor for the development of HO. However, no other risk factors in this study were found to be associated with the development of HO, including intraarticular syndesmotic screw placement. Patients should be counseled on the prevalence although further research is needed to determine the effect on ankle motion and progression of post-traumatic osteoarthritis.

Radiographic Review of Helical Blade Versus Lag Screw Fixation for Cephalomedullary Nailing of Low-Energy Peritrochanteric Femur Fractures

2017 ◽  
Vol 31 (6) ◽  
pp. 305-310 ◽  
Author(s):  
Lorraine C. Stern ◽  
John T. Gorczyca ◽  
Stephen Kates ◽  
John Ketz ◽  
Gillian Soles ◽  
...  
Keyword(s):  
Screw Fixation ◽  
Low Energy ◽  
Lag Screw ◽  
Femur Fractures ◽  
Helical Blade ◽  
Cephalomedullary Nailing
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