A Prospective Study on the Surgical Management of Closed Lisfranc Injury by Various Modalities
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 4, Pages 1442-1448
AbstractIntroduction: The Lisfranc injuries are the injuries of one or more metatarsals that are displaced with respect to the tarsus. The incidence of such injuries is rare as compared to other fractures. However, they carry a high risk of morbidity and economic implications. We in the current study tried to evaluate different treatment modalities for Lisfranc injuries reporting to our Hospital.
Methods: This cross-sectional study was conducted in the Department of Orthopedics Mahatma Gandhi Memorial Hospital, Kakatiya medical college, Warangal. The sample size of n=60 patients presented with Lisfranc injury was treated by using K-wires, screws, and plates.
Results: A total of n=60 cases were included and studied during the period. The cases were equally K-wire 33.33%, Screw 33.33% cases, and plate fixation in 33.33% cases. The functional outcomes of the study revealed Excellent outcomes in 46.67% of cases out of which plate fixations achieve better outcomes. Poor outcomes were more commonly noted in the K-wire fixations and no case of poor outcome was noted in the plate fixations.
Conclusion: Percutaneous screw fixation is an effective and relatively simple method of treating TMT trauma specially Myerson type B (partial incongruous) injuries and fracture-dislocation. In our study, we found that both K wire and screw fixation were adequate in allowing an acceptable anatomical reduction until the healing occurred although the overall outcome by dorsal plate was better with lesser complications
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