ABSTRACT
UNLABELLED: Lisfranc dislocations and fracture dislocations are the most common severe injuries of the foot. AIM: To assess the functional outcome of patients with Lisfranc dislocations of the midfoot by applying the latest methods of diagnosis and treatment. MATERIAL AND METHODS: The study reviewed 31 patients with dislocations and fracture- dislocations of the Lisfranc joint over a 10 years period. The average follow-up period was 44 months (range 12-108). Injuries were classified according to Myerson scale. RESULTS: The outcomes were evaluated using the Baltimore Painful Foot score (PFS) and American Orthopaedic Foot and Ankle Society (AOFAS) mid-foot scoring scale. 10 patients had an excellent outcome on the PFS scale, 8 were classified as good, 13 fair and poor. The average AOFAS score for the midfoot. used for results interpretation was 72 (range 52-92). CONCLUSIONS: Of all methods of surgical treatment used, the highest scores were obtained by internal fixation with screws. Eight patients (25.8 %) developed posttraumatic arthritis of the tarsometatarsal joints.
Subject(s)
Fracture Fixation, Internal , Fractures, Bone/surgery , Joint Dislocations/surgery , Metatarsal Bones/injuries , Metatarsal Bones/surgery , Tarsal Joints/injuries , Tarsal Joints/surgery , Adolescent , Adult , Aged , Female , Follow-Up Studies , Fracture Fixation, Internal/adverse effects , Fracture Fixation, Internal/methods , Humans , Internal Fixators , Male , Middle Aged , Osteoarthritis/etiology , Pain Measurement , Range of Motion, Articular , Recovery of Function , Retrospective Studies , Treatment OutcomeABSTRACT
We present a 26-year old patient who suffered an accident while at work, his forearm being almost completely separated because of an electrical circular saw. Admitted at our hospital 8 hours after the accident occurred the forearm was temporarily stabilized by means of k-wires and the radial artery and vein as well as the median nerve were anastomosed.
