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J Foot Ankle Surg 2020 Jul - Aug;59(4):648-652

Professor, Department of Orthopedic Trauma, Beijing Jishuitan Hospital, Beijing, China.

This study retrospectively evaluated patients with ankle fracture to compare the prognosis between patients who had primary repair of the superficial deltoid ligament and those who did not. A total of 71 patients with ankle fracture and fracture-dislocation combined with deltoid ligament injury were divided into 2 groups: repair of superficial layer group (33 cases) and nonrepair group (38 cases). For the repair group, patients first underwent open reduction and internal fixation of the lateral malleolus and received a stress test. Read More

J Foot Ankle Surg 2020 Jun 20. Epub 2020 Jun 20.

Researcher, Department of Orthopaedic Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.

Chronic varus instability or recurrent subluxation following isolated metatarsophalangeal dislocation of the hallux is a rare injury. A young Judo athlete with a history of repetitive sport injuries complained of recurrent medial dislocation of the hallux for 3 years. For prior injuries, he underwent manual reduction under local anesthesia and recovered with splint immobilization. Read More

Unfallchirurg 2020 Apr 28. Epub 2020 Apr 28.

Klinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburg Allee 160, 23538, Lübeck, Deutschland.

This article reports a case of medial dislocation of the talus as a rare injury caused by a fall from a low height.Treatment recommendations given in the literature for this rare injury are heterogeneous but closed reduction is predominant. Little is known about possible obstacles in closed reduction. Read More

J Foot Ankle Surg 2020 Apr 25. Epub 2020 Apr 25.

Department of Hand Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Dorsal dislocation of the interphalangeal joint of the great toe is quite rare. Closed reduction is often attempted in the emergency setting, but this measure is seldom successful because of invagination of the sesamoid-plantar plate complex into the interphalangeal space. Generally, open reduction is indicated when closed reduction fails. Read More

J Foot Ankle Surg 2020 Jul - Aug;59(4):849-852. Epub 2020 Apr 25.

Consultant, Hospital for Trauma and Reconstructive Surgery, BG Hospital Bergmannstrost Halle gGmbH, Halle/S., Germany; Senior Physician, Hospital for Trauma, Hand and Reconstructive Surgery, University Hospital Jena, Jena, Germany.

Ankle fracture dislocations with frustrating attempts at closed reduction are a rare traumatic entity. We present a case of an irreducible ankle fracture due to incarceration of all the flexor tendons including the neurovascular bundle in the tibial fibular interosseous space; to date, only one such case has been published in the literature. A computed tomography scan in both bone and soft tissue windows was necessary to clarify the structures that were inhibiting repositioning. Read More

Biomed Res Int 2020 10;2020:4139028. Epub 2020 Mar 10.

Department of Orthopedic, The First College of Clinical Medical Science, China Three Gorges University & Yichang Central People's Hospital, Yichang 443002, China.

As a rare and exceptional injury with significant syndesmotic disruption, the outcome of Logsplitter injury remains poor and unfavorable. In this study, we retrospectively investigated the relationship between the intraoperative reduction quality and the prognosis such as the posttraumatic osteoarthritis to help surgeons achieve better functional outcomes for this high-energy transsyndesmotic ankle fracture dislocation. From January 2015 to February 2019, 31 patients (average 37. Read More

JBJS Essent Surg Tech 2019 Oct-Dec;9(4). Epub 2019 Nov 1.

Section for Foot and Ankle Surgery, Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.

Lisfranc injuries consist of a wide spectrum of injuries, ranging from subtle injuries to severe fracture-dislocations. Injuries with instability of the tarsometatarsal, intercuneiform, or naviculocuneiform joints should be treated with anatomic reduction and stable fixation. The best method of fixation is debated. Read More

Z Orthop Unfall 2020 Feb 10. Epub 2020 Feb 10.

UniversitätsCentrum für Orthopädie und Unfallchirurgie (OUC), Universitätsklinikum Carl Gustav Carus, Dresden.

Even minor residual fragment malpositioning after internal fixation of ankle fractures is associated with a worse prognosis. Frequent causes for non-anatomical reduction are fibular shortening due to comminuted fractures or poor bone quality, translational or rotational malpositioning of the distal fibula within the tibial incisura with unstable syndesmosis injuries, and inadequately addressed bony avulsions of the tibiofibular syndesmosis. After operative treatment of fracture dislocations with syndesmotic fixation, in case of complex fracture pathoanatomy, and with suspected non-anatomic reduction in postoperative radiographs, computed tomography imaging of both ankles should be performed. Read More

Unfallchirurg 2020 Jan;123(1):43-56

UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus, 01307, Dresden, Deutschland.

Ankle fractures and associated ligamentous injuries are the most common injuries of a load-bearing joint. There is still no general consensus with respect to the pathomechanism, the treatment indications and surgical techniques. The medium and long-term results are affected by a particularly high risk of posttraumatic arthritis in bimalleolar and trimalleolar fractures and fracture dislocations. Read More

Bull Emerg Trauma 2019 Oct;7(4):411-415

Bone and Joint Diseases Research Center, Department of Orthopedics Surgery, Shiraz University of Medical Sciences, Shiraz, Iran.

Transcalcaneal talonavicular fracture dislocation is an extremely rare debilitating injury with high complication rates. The present case report demonstrates highly comminuted joint-depressed fracture of left calcaneus treated with primary subtalar arthrodesis following reduction and fixation of the calcaneus. The right ankle sustained a highly comminuted fracture of calcaneal body with completely-destroyed posterior facet, fracture dislocation of the calcaneocuboid joint, dorsally dislocated talonavicular joint, fracture of anterior of tibial plafond, and subluxation of the tibiotalar joint. Read More

J Pediatr Orthop B 2019 Sep 18. Epub 2019 Sep 18.

Department of Paediatric Orthopaedics, Jishuitan Hospital, Beijing, China.

The aim of this study was to explore the clinical features and surgical treatment methods of unstable midfoot injuries in children. Eleven children with severe unstable midfoot injuries admitted to Jishuitan Hospital, Beijing, from June 2009 to October 2016 were enrolled, including seven patients with Lisfranc injuries and four patients with Chopart injuries. All Lisfranc injuries had radiographic data from the healthy sides, and radiographs of the affected sides showed that all injured Lisfranc joints separated more than 3 mm compared with the healthy sides. Read More

Adv Biomed Res 2019 21;8:50. Epub 2019 Aug 21.

Department of Anesthesiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Background: Ankle fracture-dislocation with a syndesmotic injury has been treated with syndesmotic screw fixation. There are little evidences about the safety and efficacy of syndesmotic screw removal on the syndesmotic malreduction. This study aimed to evaluate the effects of syndesmotic screw removal of distal attachment of the fibula and tibia bones on the syndesmotic reduction and also impact of syndesmotic screw removal on the final functional score of ankle joint. Read More

Z Orthop Unfall 2020 Jun 9;158(3):347-351. Epub 2019 Sep 9.

Department of Trauma and Orthopaedic Surgery, BG Unfallklinik (Trauma Clinic) Frankfurt am Main.

Dislocation of the ankle without fracture is very uncommon. There are only few reports in the international literature. Up to now approximately 80 cases are published. Read More

Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2019 Aug;41(4):479-484

Department of Orthopaedics,the Hospital of Caofeidian District,Tangshan,Hebei 063000,China.

To evaluate the effectiveness of minimally invasive bridging for the lateral malleolar fractures in the open comminuted ankle fractures with dislocation. Methods The clinical data of 24 patients [19 males and 5 females aged 40 to 65 years,mean(47.5±8. Read More

Foot Ankle Int 2019 Nov 30;40(11):1338-1345. Epub 2019 Aug 30.

Department of Orthopedics, University of California, Davis, Sacramento, CA, USA.

Injuries to the Lisfranc complex range from purely ligamentous disruptions to fracture-dislocations of the tarsometatarsal joint. Treatment options include closed/open reduction with percutaneous pinning, open reduction and internal fixation (ORIF), and primary arthrodesis. We present a ligament reinforcement technique utilizing a flexible fixation device for the treatment of ligamentous Lisfranc injuries. Read More

World J Clin Cases 2019 Jul;7(14):1850-1856

Department of Orthopedics and Traumatology, Demiroğlu Bilim University Faculty of Medicine, İstanbul 34387, Turkey.

Background: Total talar dislocation (TTD) is very uncommon for many orthopedic surgeons and emergency/trauma specialists. Scarce cases of TTD have been reported, mainly in the form of open fracture-dislocation injury.

Case Summary: We report a very rare injury of closed TTD with a follow-up period of 36 mo. Read More

Foot Ankle Spec 2019 Jul 31:1938640019863437. Epub 2019 Jul 31.

TRIA Research Institute, Bloomington, Minnesota.

Lisfranc joint complex injury may be managed surgically by either an open reduction internal fixation (ORIF) or primary arthrodesis (PA). Published literature advocates PA for purely ligamentous injuries, but many surgeons in actuality refrain from performing PA. The purpose of the study is to assess surgeon practices and behavior in managing Lisfranc injuries due to the influence of peer reviewed literature with the help of the American Board of Orthopaedic Surgery (ABOS) database. Read More

World Neurosurg 2019 Oct 9;130:179-186. Epub 2019 Jul 9.

Department of Foot and Ankle Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Objective: Besides the facet joints interlocking, the fibrous tissue or bony callus around the dislocated segments make the reduction for this kind of old injury to be more challenging and different from that of acute injuries. This study is aimed to present 4 cases of old subaxial cervical facet dislocations (SCFD) that were successfully treated with posterior unlocking under endoscopy followed by anterior decompression, reduction, and fixation.

Methods: Between January 2017 and December 2017, 4 patients with old SCFD who underwent posterior unlocking of facet joints under endoscopy followed by anterior decompression, reduction, and fixation were enrolled. Read More

Am J Case Rep 2019 Jul 2;20:941-947. Epub 2019 Jul 2.

Department of Pediatric- and Neuro-Orthopedics, Foot and Ankle Surgery, Orthopedic Clinic Volmarstein, Wetter (Ruhr), Germany.

BACKGROUND Avascular necrosis of the femoral head (AVN) is one of the most serious complications following developmental dysplasia of the hip (DDH). Treatment options focus mainly on improving the biomechanics and kinematics of the affected hip joint. In the past, femoral and pelvic osteotomies were the mainstay of treatment. Read More

Med Sci Monit 2019 Jun 7;25:4233-4243. Epub 2019 Jun 7.

Department of Orthopedics, Jiangxi Provincial People's Hospital Affiliated with Nanchang University, Nanchang, Jiangxi, China (mainland).

BACKGROUND This study aimed to retrospectively assess the feasibility and efficacy of three-dimensional (3D) printing technology in the treatment of high-energy trans-syndesmotic ankle fracture dislocation - "log-splitter" injury - and to evaluate the efficacy and prognosis. MATERIAL AND METHODS We included 29 patients (17 males and 12 females; mean age, 44.0±13. Read More

J Sports Med Phys Fitness 2019 Oct 30;59(10):1739-1746. Epub 2019 Apr 30.

Orthopedic Clinic, Department of Surgery, Oncology and Gastroenterology (DiSCOG), University of Padua, Padua, Italy.

Isolated subtalar dislocations (SDs) are rare injuries, representing only 1% of all foot traumas. In the current literature, only a few reports have described this acute injury as a consequence of low-middle-energy trauma during sports activities and none in professional or recreational volleyball players. Further, to the best of our knowledge, no validated standard rehabilitation programs have been described for SDs as most of them are usually treated like an ankle sprain. Read More

Eur J Orthop Surg Traumatol 2019 Aug 9;29(6):1325-1330. Epub 2019 Apr 9.

Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatology, A.O.U. Policlinico - Vittorio Emanuele, University of Catania, Via Santa Sofia, 78, 95123, Catania, Italy.

Purpose: Trimalleolar fractures are a common injury of the ankle that require surgical treatment to obtain an anatomic reduction of both malleoli and stabilization of the syndesmosis. This study aims to report the outcomes of surgical treatment for trimalleolar fractures, identifying the risk factors determining a worse result.

Materials And Methods: Between January 2013 and December 2016, 48 patients with trimalleolar fracture treated with open reduction and internal fixation were retrospectively analyzed. Read More

J Foot Ankle Surg 2019 May 20;58(3):534-539. Epub 2019 Mar 20.

Associate, Main Line Foot and Ankle Center, Ardmore, PA.

Plantar dislocation of the first metatarsophalangeal joint is a possible, albeit rare, injury to the foot. The mechanism has been attributed to a hyperflexion motion, with the hallux situated plantar to the first metatarsal head. In this article, we provide a case example of an open, plantar dislocation of the first metatarsophalangeal and perform a literature review of this rare injury. Read More

Traffic Inj Prev 2019 22;20(2):196-203. Epub 2019 Mar 22.

a Univ Lyon, Université Lyon 1, IFSTTAR, UMRESTTE UMR_T 9405 , Lyon , France.

Objective: This study assesses the effectiveness of protective clothing (motorcycle jacket, trousers, gloves, knee-high or ankle boots, back protection) for motorized 2-wheeler (MTW) riders.

Methods: This retrospective observational study used injury data from the Rhône Registry of Road Accident Victims, plus a postal survey conducted in 2016. Seven thousand one hundred forty-eight MTW riders involved in accidents between 2010 and 2014 were identified from the Registry and were invited to complete a questionnaire. Read More

Clin Sports Med 2019 Apr 19;38(2):247-260. Epub 2019 Jan 19.

Department of Orthopaedic Surgery, University of New Mexico, MSC10 5600, 1 University of New Mexico, Albuquerque, NM 87131-0001, USA. Electronic address:

"KDIV ligamentous injuries of the knee are frequently high-energy injuries with significant soft tissue disruption, gross knee instability, and rarely are treated nonoperatively. KDIVs frequently require external fixation, but when presenting in an isolated fashion can be reconstructed in one setting. Five presentations of KDIV injury are described: closed with multitrauma/closed head injury requiring external fixation, irreducible KDIV requiring semi-emergent open reduction and repair, isolated KDIV without arterial injury undergoing 4-ligament reconstruction after regaining motion, KDIV with varus and slight thrust undergoing medial opening osteotomy before ligament reconstruction, and KDIV with failed ligaments requiring revision and posterior tibial tendon transfer. Read More

J Foot Ankle Surg 2019 Mar;58(2):226-230

Associate Professor, Department of Orthopedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

Open reduction internal fixation (ORIF) is an accepted treatment for displaced tarsometatarsal joint (TMTJ) fracture dislocations. In general, hardware is routinely removed after 4 months to allow restoration of joint motion and avoid complications of hardware failure. Because few studies report outcomes of TMTJ fractures with retained hardware, there is little consensus regarding the optimal time for hardware removal or if hardware retention leads to adverse outcomes. Read More

Zhongguo Gu Shang 2019 Jan;32(1):72-76

Department of Bone Joint Surgery, the First Affiliated Hospital of University of South China, Hengyang 421001, Hunan, China.

Objective: To investigate short-term clinical efficacy of open reduction and percutaneous Kirschner wire fixation for Chopart joint dislocation.

Methods: From August 2014 to August 2017, 13 patients with Chopart joint dislocation were treated by open reduction and percutaneous Kirschner wire fixation, including 7 males and 6 female aged from 13 to 58 years old. American Orthopaedic Foot and Ankle Society(AOFAS)criteria system and visual analogue scale (VAS) were applied to evaluate function of foot and ankle at 12 months after operation. Read More

Foot Ankle Spec 2019 Dec 22;12(6):535-539. Epub 2019 Jan 22.

Department of Orthopaedic Surgery, University of Michigan Health System, Ann Arbor, Michigan.

We sought to determine whether significantly displaced Lisfranc injuries had a higher rate of loss of reduction after fixation compared to those with low displacement. Forty-five patients who had fixation of an acute Lisfranc injury from 2005 to 2014 were retrospectively reviewed. All patients underwent subsequent hardware removal at 3 to 15 months after their index procedure. Read More

J Foot Ankle Surg 2019 Mar 15;58(2):392-397. Epub 2019 Jan 15.

Podiatric Surgical Resident, Department of Podiatric Surgery, Beaumont Hospital Wayne, Wayne, MI.

We present a unique case of an open talar neck fracture with medial subtalar joint dislocation. This rare and traumatic injury was treated with immediate open reduction of the subtalar joint and open reduction internal fixation of the talar neck fracture. After a follow-up of 2. Read More

Strategies Trauma Limb Reconstr 2019 Jan-Apr;14(1):53-56

Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore.

Introduction: Subtalar dislocations are a rare injury, comprising 1-2% of all large joint dislocations and 15% of all peri-talar injuries. Most subtalar dislocations are managed acutely, with the documented reconstruction of chronic dislocations rare. This case report aims to present our experience with the first documented use of an Ilizarov frame for bony and soft tissue reconstruction in a case of chronic subtalar dislocation. Read More

Injury 2019 Feb 18;50(2):571-578. Epub 2018 Dec 18.

Department of Orthopaedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China; The First Clinical College, Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang, China. Electronic address:

Background: This study assessed the surgical outcomes of Lisfranc injuries accompanied by multiple metatarsal fractures. Metatarsal fractures here refers to metatarsal head, neck, and shaft (including shaft fractures accompanied by fractures of the base) fractures, as well as mixed (i.e. Read More

Am Fam Physician 2018 11;98(10):570-576

West Virginia University School of Medicine-Eastern Campus, Harpers Ferry, WV, USA.

Braces and splints can immobilize and protect joints, reduce pain, decrease swelling, and facilitate healing of acute injuries. They are also used for injury prevention and chronic pain reduction, and to alter the function of a joint. The medial unloading (valgus) knee brace is an option for patients with medial knee osteoarthritis, but evidence of long-term benefit is limited. Read More

Foot Ankle Int 2019 Feb 21;40(2):185-194. Epub 2018 Oct 21.

1 Methodist Sports Medicine, Indianapolis, IN, USA.

Background:: We report data on the largest cohort to date of patients who sustained a ligamentous Lisfranc injury during sport. To date, the prevalence of concurrent intercuneiform ligament injuries in the competitive athlete with subtle Lisfranc instability has not been reported.

Methods:: Eighty-two patients (64 males, 18 females) sustained an unstable Lisfranc injury (49 left, 33 right) and met inclusion criteria. Read More

J Orthop Surg Res 2018 Oct 20;13(1):263. Epub 2018 Oct 20.

Department of Orthopaedic Surgery, Southwest Hospital, The Third Military Medical University, Gaotanyan Str. 30, Chongqing city, 400038, People's Republic of China.

Background: Arthroscopic ankle arthrodesis (AAA) is recognized as the standard treatment for the end-stage ankle arthritis. Two-screw configuration fixation is a typical technique for AAA; however, no consensus has been reached on how to select most suitable inserted position and direction. For better joint reduction, we developed a new configuration (2 home run-screw configuration: 2 screws are inserted from the lateral-posterior and medial-posterior malleolus into the talar neck) and investigated whether it turned out to be better than the other commonly used 2-screw configurations. Read More

Foot Ankle Surg 2019 Oct 29;25(5):601-607. Epub 2018 May 29.

Department of Anesthesiology and Pain Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea.

Background: This retrospective comparative study was performed to evaluate the clinical outcomes after surgical treatment for Bosworth fracture-dislocation, and to analyse the prognostic factors related to postoperative outcomes.

Methods: Fifteen patients were followed for ≥2 years after Bosworth fracture-dislocation. Twenty-five ankle fracture-dislocations as control group were enrolled to compare clinical outcomes. Read More

Foot Ankle Surg 2019 Oct 8;25(5):654-664. Epub 2018 Aug 8.

Leeds General Infirmary, Great George St, Leeds LS1 3EX, United Kingdom.

Background: Information regarding return rates (RR) and mean return times (RT) to sport following Lisfranc injuries remains limited.

Methods: A systematic search of nine major databases was performed to identify all studies which recorded RR or RT to sport following lisfranc injuries.

Results: Seventeen studies were included (n=366). Read More

J Foot Ankle Surg 2018 Nov - Dec;57(6):1059-1066. Epub 2018 Sep 19.

Chief Resident, Foot and Ankle Surgery Residency Program, Regions Hospital/ HealthPartners Institute for Education & Research, St. Paul, MN. Electronic address:

Lisfranc fracture-dislocations can be devastating injuries with significant long-term sequelae with or without surgical intervention. The main goal of treatment is to minimize the common long-term complications including pain, progressive arch collapse, degenerative joint disease, hardware failure, and reoperation. Partial primary fusion involving the first, second, and third tarsometatarsal joints has become a common approach for primarily dislocation injuries, with open reduction and internal fixation (ORIF) favored for Lisfranc injuries involving fracture. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 10;32(10):1308-1312

Department of Orthopaedical Oncology, Tianjin Hospital, Tianjin, 300210, P.R.China.

Objective: To analyze the importance and effectiveness of Tillaux bone block in Ruedi-Allgower type Ⅲ of Pilon fracture surgery.

Method: Twenty-one patients with Pilon fractures with Tillaux dislocation were treated between February 2010 and September 2013. There were 17 males and 4 females, aged from 28 to 68 years with an average age of 42. Read More

Medicine (Baltimore) 2018 Sep;97(37):e12079

Department of Orthopaedics, Hebei Medical University Third Affiliated Hospital.

To explore the therapy of ankle joint dislocation treating dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis and improve surgical results.Patients who had dislocated trimalleolar fractures accompanied with the complex posterior malleolus fracture without separation of the tibiofibular syndesmosis were retrospectively analyzed and 30 patients were enrolled the study. They were all treated by ankle joint dislocation and the surgical results were evaluated by the Baird-Jackson ankle scoring system. Read More

BMC Musculoskelet Disord 2018 Aug 21;19(1):301. Epub 2018 Aug 21.

Department of Orthopaedics and Traumatology, Tampere University Hospital, Teiskontie 35, PL2000, 33521, Tampere, Finland.

Background: Lisfranc injuries are known to be rare and often overlooked injuries that can cause long-term disability and pain when missed or treated incorrectly. The wide variety of Lisfranc injuries ranges from subtle ligament distensions to open fracture dislocations. The treatment of Lisfranc joint injuries is still controversial and very little is known about what types of injury can be treated nonoperatively. Read More

Foot Ankle Clin 2018 Sep;23(3):353-374

Department of Orthopedic Surgery, Kyungpook National University Hospital, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea.

Traumatic injury to the subtalar joint occurs during subtalar dislocations, talar and calcaneal fractures, and fracture-dislocations. After closed reduction of subtalar dislocations, peripheral talar or calcaneal fractures need to be ruled out by computed tomography scanning. In fractures and fracture-dislocations of the talus and calcaneus involving the subtalar joint, anatomic reconstruction of joint congruity is essential for functional rehabilitation. Read More

Foot Ankle Int 2018 10 2;39(10):1162-1168. Epub 2018 Jun 2.

2 Department of Orthopaedic Surgery, Regions Hospital, Saint Paul, MN, USA.

Background: Initial treatment for a displaced ankle fracture is closed reduction and splinting. This is typically performed in conjunction with either an intra-articular hematoma block (IAHB) or procedural sedation (PS) to assist with pain control. The purpose of this study was to compare the safety of IAHB to PS and evaluate the efficiency and efficacy for each method. Read More

Foot Ankle Int 2018 09 29;39(9):1089-1096. Epub 2018 May 29.

2 Massachusetts General Hospital and Newton-Wellesley Hospital, Harvard Medical School, Boston, MA, USA.

Background: Controversy persists as to whether Lisfranc injuries are best treated with open reduction internal fixation (ORIF) versus primary arthrodesis (PA). Reoperation rates certainly influence this debate, but prior studies are often confounded by inclusion of hardware removal as a complication rather than as a planned, staged procedure inherent to ORIF. The primary aim of this study was to evaluate whether reoperation rates, excluding planned hardware removal, differ between ORIF and PA. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 10;31(10):1195-1199

Department of Traumatology, Affiliated Hospital of Chengde Medical College, Chengde Hebei, 067000, P.R.China.

Objective: To investigate the application value of three-dimensional (3-D) printing technology in the operation of distal tibia fracture involving epiphyseal plate injury for teenagers.

Methods: The retrospective analysis was conducted on the clinical data of 16 cases of children patients with distal tibia fracture involving epiphyseal plate injury undergoing the operation by using of 3-D printing technology between January 2014 and December 2015. There were 12 males and 4 females with an age of 9-14 years (mean, 12. Read More

Knee Surg Sports Traumatol Arthrosc 2018 Nov 7;26(11):3482-3490. Epub 2018 May 7.

Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Yanagido 1-1, Gifu, Gifu, 501-1194, Japan.

Purpose: This study aimed to analyse the change in coronal tibiofemoral (CTF) subluxation after high tibial osteotomy and to determine demographic variables associated with CTF subluxation. The change in CTF subluxation was hypothesised to be associated with the magnitude of correction of lower limb alignment and medial proximal tibial angle (MPTA).

Methods: A total of 103 consecutive knees in 86 patients who underwent medial opening wedge high tibial osteotomy for symptomatic medial compartment knee osteoarthritis were retrospectively analysed. Read More

Injury 2018 Jun 23;49(6):1220-1227. Epub 2018 Apr 23.

Department of Pediatric Orthopaedic Surgery, Children's Hospital, Altona, Hamburg, Germany; Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Purpose: To compare tibiofibular reduction quality in different types of operatively treated ankle fractures and the impact on clinical and functional outcome at mid-term follow-up.

Patients And Methods: One hundred patients with an acute ankle fracture who had undergone open reduction and internal fixation were included. Eighty-eight patients who suffered from ligamentous ankle injury with neither fracture nor syndesmotic lesions served as a control group. Read More

Bone Joint J 2018 May;100-B(5):566-569

Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Edinburgh, UK.

The posterior malleolus of the ankle is the object of increasing attention, with considerable enthusiasm for CT scanning and surgical fixation, as expressed in a recent annotation in The Bone & Joint Journal. Undoubtedly, fractures with a large posterior malleolar fragment that allow posterior talar subluxation from the mortise are served better by fixation. However, in all other situations, the existing literature does not support this widespread change in practice. Read More

J Foot Ankle Surg 2018 Jul - Aug;57(4):794-800. Epub 2018 Apr 11.

Attending Foot and Ankle Surgeon, Palo Alto Medical Foundation, Mountain View, CA.

Midfoot injuries are the second most common athletic foot injury documented in the published data. High-energy Lisfranc dislocations are commonly seen secondary to traumatic etiologies and disrupt the strong midfoot ligaments supporting the arch. These injuries require immediate surgical intervention to prevent serious complications such as compartment syndrome and amputation. Read More

Bone Joint J 2018 04;100-B(4):468-474

Alfred Hospital, 55 Commercial Road, Melbourne, Victoria 3004, OrthoSports Victoria, Level 5, 89 Bridge Rd, Richmond, Victoria 312, Australia.

Aims: The aim of this retrospective study was to compare the functional and radiological outcomes of bridge plating, screw fixation, and a combination of both methods for the treatment of Lisfranc fracture dislocations.

Patients And Methods: A total of 108 patients were treated for a Lisfranc fracture dislocation over a period of nine years. Of these, 38 underwent transarticular screw fixation, 45 dorsal bridge plating, and 25 a combination technique. Read More

Foot Ankle Int 2018 07 2;39(7):801-807. Epub 2018 Apr 2.

1 Prince of Wales Hospital, Sydney, NSW, Australia.

Background: The purpose of this study was to assess participation in sport and physical activity following open reduction and internal fixation of a Lisfranc injury in a cohort of recreational athletes.

Methods: This study identified all adult patients aged 55 years or younger who presented with a Lisfranc injury and underwent open reduction and internal fixation (ORIF) using a Lisfranc screw combined with bridge plating technique. Sports and physical activity participation was assessed with a new sports-specific, patient-administered questionnaire. Read More