Primary Arthrodesis versus Open Reduction and Internal Fixation for Lisfranc Joint Fracture-Dislocations in Adults: A Systematic Review.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Journal of the American Podiatric Medical Association Pub Date : 2024-01-01 DOI:10.7547/21-232

Bryanna D Vesely, Lauren Michels, Matthew A King, Paula Gangopadhyay, Aaron T Scott

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引用次数: 0

Abstract

Background: The Lisfranc joint is an intricate podiatric medical structure that when injured can prove difficult to treat. No consensus has been established on optimal surgical management for this injury. It is widely debated whether open reduction and internal fixation or primary arthrodesis provides better outcomes for patients. Although literature has been published on this subject, no generalized guidelines have been created. The goal of this study was to analyze high-level meta-analyses to draw conclusions about surgical interventions for Lisfranc joint injuries.

Methods: A literature review was conducted to analyze outcomes of meta-analyses from January 1, 2016, to August 31, 2021. Only high-level evidence that reported at least one of the following outcomes was included: American Orthopaedic Foot and Ankle Society scale score, visual analog scale score, total complication rate, hardware removal rate, revision surgery rate, and secondary procedure rate.

Results: Six articles met the inclusion and exclusion criteria and were then analyzed. For all of the outcome measures, primary arthrodesis was equal or superior to open reduction and internal fixation.

Conclusions: We recommend primary arthrodesis over open reduction and internal fixation for adult Lisfranc injuries.

查看原文本刊更多论文

成人 Lisfranc 关节断裂-脱位的初次关节固定术与开放复位和内固定术：系统性综述。

背景：Lisfranc 关节是一种复杂的足科医疗结构，一旦受伤就很难治疗。关于这种损伤的最佳手术治疗方法，目前尚未达成共识。究竟是切开复位内固定术还是初次关节置换术能为患者带来更好的治疗效果，目前还存在广泛争议。虽然已有相关文献发表，但尚未制定出通用指南。本研究的目的是通过分析高水平的荟萃分析，得出有关 Lisfranc 关节损伤手术干预的结论：对2016年1月1日至2021年8月31日期间的荟萃分析结果进行了文献综述分析。仅纳入了至少报告了以下一种结果的高级别证据：美国骨科足踝协会量表评分、视觉模拟量表评分、总并发症发生率、硬件移除率、翻修手术率和二次手术率：结果：有六篇文章符合纳入和排除标准，并进行了分析。就所有结果而言，初次关节置换术与切开复位内固定术效果相当或更优：结论：对于成人Lisfranc损伤，我们推荐初次关节固定术，而不是切开复位和内固定术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Podiatric Medical Association 医学-整形外科

CiteScore

1.10

自引率

0.00%

发文量

128

审稿时长

6-12 weeks

期刊介绍： The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.

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