Minimally Invasive Medial Plating of Low-Energy Lisfranc Injuries: Preliminary Experience with Five CasesReportar como inadecuado




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Advances in Orthopedics - Volume 2016 2016, Article ID 4861260, 7 pages -

Clinical Study

Favaloro Foundation University Hospital, 461 Solis Street, 1st Floor, 1078 Ciudad Autónoma de Buenos Aires, Argentina

Austral University Hospital, 1500 Presidente Perón Avendia, 1629 Pilar, Argentina

Received 2 January 2016; Accepted 21 March 2016

Academic Editor: Robert F. Ostrum

Copyright © 2016 Jorge Javier del Vecchio et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Fracture dislocations involving the Lisfranc joint are rare; they represent only 0.2% of all the fractures. There is no consensus about the surgical management of these lesions in the medical literature. However, both anatomical reduction and tarsometatarsal stabilization are essential for a good outcome. In this clinical study, five consecutive patients with a diagnosis of Lisfranc low-energy lesion were treated with a novel surgical technique characterized by minimal osteosynthesis performed through a minimally invasive approach. According to the radiological criteria established, the joint reduction was anatomical in four patients, almost anatomical in one patient #4, and nonanatomical in none of the patients. At the final follow-up, the AOFAS score for the midfoot was 96 points range, 95–100. The mean score according to the VAS Visual Analog Scale at the end of the follow-up period was 1.4 points over 10 range, 0–3. The surgical technique described in this clinical study is characterized by the use of implants with the utilization of a novel approach to reduce joint and soft tissue damage. We performed a closed reduction and minimally invasive stabilization with a bridge plate and a screw after achieving a closed anatomical reduction.





Autor: Jorge Javier del Vecchio, Mauricio Ghioldi, Nicolás Raimondi, and Manuel De Elias

Fuente: https://www.hindawi.com/



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