Open Reduction and Internal Fixation to Repair a Lisfranc Injury: A Case Report

2015 ◽  
Vol 3 (4) ◽  
Author(s):  
Nickul N Shah
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Lisfranc Injury

scholarly journals Primary Arthrodesis Compared with Open Reduction and Internal Fixation for Lisfranc Injuries with the First Tarsometatarsal Joint Dislocation

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0013
Author(s):  
Ming-Zhu Zhang ◽  
Guang-rong Yu ◽  
Mark Myerson
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Bodily Pain ◽  
Open Reduction Internal Fixation ◽  
Term Outcome ◽  
Lisfranc Injury ◽  
Joint Dislocation ◽  
Sf 36 ◽  
First Ray ◽  
Lisfranc Injuries

Category: Trauma Introduction/Purpose: The first tarsometatarsal (TMT) joint is very crucial for midfoot stability. To address its importance, retrospective analyses of treatment for the first TMT joint dislocation with Lisfranc injury was performed in a multi-center manner. Comparison of open reduction internal fixation (ORIF) and primary arthrodesis was conducted for the injury. Methods: This multi-center study was involved ten clinical institutions in different area of China. .From January 2003 to June 2015, 126 Lisfranc injuries with first TMT joint dislocation underwent surgical intervention. Of this group, forty one (32.5%) feet were first TMT joint dislocation only. Eighty five feet were first TMT joint dislocation and fractures. They were 76 males (60.3%) and 50 females (39.7%) with a mean age of 45.5 (range, 20-87) years. The duration from injury to surgery is 11.7 (range, 4-26) days. Two groups were divided by surgery methods as open reduction internal fixation (ORIF) group and primary arthrodesis group. Ninety two patients were performed by ORIF, while primary arthrodesis group including 34 cases. Outcome measures included clinical examination, radiographs, AOFAS ankle-hindfoot scores, visual analogue scale (VAS) and SF-36 scores. Complications and revision rate were analyzed as well. Results: 126 patients were followed up for 29.5 months. At 1.5 years postoperatively, the AOFAS score was 79 and 85 in ORIF group and arthrodesis group.The VAS score was 3.1 separately in two groups.The mean Physical Functioning sores of SF-36 was 80.3 points and 83.5• points. The Bodily Pain score of SF-36 was 76.1 points and 84.6• points.Redislocation of first tarsometarsal joint were observed in 16 cases among ORIF group.36 patients in ORIF group had pain in midfoot, eight of them had persistent pain with the development of deformity or osteoarthrosis.No redislocation and no hardware failure was identified in arthrodesis group Conclusion: Primary stable arthrodesis of the first ray gives a better short and medium term outcome than open reduction and internal fixation for Lisfranc injury with the first ray dislocation. Possible complication and revision could be avoided by primary arthrodesis for dislocated first ray injuries.

scholarly journals Primary Arthrodesis Compared with Open Reduction and Internal Fixation for Lisfranc Injuries with the First Tarsometatarsal Joint Dislocation: A Randomized Controlled Trial

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0007
Author(s):  
Mingzhu Zhang ◽  
Guangrong Yu
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Controlled Trial ◽  
Bodily Pain ◽  
Lisfranc Injury ◽  
Joint Dislocation ◽  
Tarsometatarsal Joint ◽  
Sf 36 ◽  
First Ray ◽  
Lisfranc Injuries

Category: Midfoot/Forefoot, Trauma Introduction/Purpose: Prospective analyses of treatment for the first tarsometatarsal joint dislocation with Lisfranc injury. Comparison of open reduction internal fixation (ORIF) and primary arthrodesis was conducted for the injury. Methods: 78 Lisfranc injuries with first tarsometatarsal joint dislocation underwent surgical intervention. They were 46 males and 32 females with mean age of 41.2 years. Two groups were randomized by ORIF group and primary arthrodesis group. 43 patients were performed by ORIF, while primary arthrodesis group including 35 cases. Outcome measures included radiographs, AOFAS scores, VAS and SF-36 scores. Complications and revision rate were analyzed also. Results: 73 patients were followed up for 21 months. At 1.5 years postoperatively, the AOFAS score was 75 and 83 in ORIF group and arthrodesis group. The VAS score was 3.0 and 2.1 separately in two groups. The mean Physical Functioning sores of SF- 36 was 81.2 points and 84.1 points. The Bodily Pain score of SF-36 was 79.3 points and 85.2 points. Redislocation of first tarsometarsal joint were observed in 11 cases among ORIF group.31 patients in ORIF group had pain in midfoot, six of them had persistent pain with the development of deformity or osteoarthrosis. No redislocation and no hardware failure was identified in arthrodesis group. Conclusion: Primary stable arthrodesis of the first ray gives a better short and medium term outcome than open reduction and internal fixation for Lisfranc injury with the first ray dislocation. Possible complication and revision could be avoided by primary arthrodesis for dislocated first ray injuries.

Open reduction and internal fixation of an acetabular fracture in pregnancy: a case report

2009 ◽  
Vol 20 (3) ◽  
pp. 329-330 ◽  
Author(s):  
Ghias Bhattee ◽  
Mohammad Sayed Rahman ◽  
Jessica Rahman
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Acetabular Fracture ◽  
Open Reduction ◽  
In Pregnancy

scholarly journals Non -Union of Lateral Hoffa Fracture - A Case Report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Amit Supe ◽  
Shubham Atal ◽  
Neetin P Mahajan ◽  
Prasanna Kumar. G S ◽  
Amey Sadar ◽  
...  
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Femoral Condyle ◽  
Left Knee ◽  
X Rays ◽  
Non Union ◽  
Hoffa Fracture ◽  
History Of ◽  
Missed Diagnosis

Introduction: Hoffa is a coronal fracture of the femoral condyle. It is an uncommon injury easily missed on X-rays, which later presents as a non-union. Computed tomography (CT) scan knee helps in diagnosing undisplaced fractures and planning the management. Case Report: A 24-year-old male patient presented to us with complaints of pain, decreased range of knee movements, difficulty in walking and clicking sound at the left knee for 9 years. The patient had a history of trauma 9 years back. X-ray of the left knee showed the non-union of left lateral Hoffa fracture, which was managed with open reduction and internal fixation with CC screws using the lateral para patellar approach. At present 1.5 years follow-up, the patient is comfortable with no pain and having a complete knee range of motion. Conclusion: Although Hoffa fracture is rare, clinical suspicion, along with radiological investigations, is essential to diagnose Hoffa fracture. A missed diagnosis can lead to malunion or non-union, which predisposes to knee arthritis. Timely and proper management of Hoffa non-union with open reduction, stable internal fixation and early knee mobilization help in getting a better outcome. Keywords: Lateral Hoffa fracture, non-union, internal fixation, functional outcome.

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