The Lisfranc Amputation: A More Reliable Level of Amputation With Proper Intraoperative Tendon Balancing

Abstract Traditional transmetatarsal amputations are a reliable level of amputation. However, amputations at the Lisfranc level have met with limited success owing to improper biomechanics resulting from tendon imbalance, ultimately leading to foot deformity positions and an unstable soft tissue env...

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Veröffentlicht in:The Journal of foot and ankle surgery 2017-07, Vol.56 (4), p.824-826
Hauptverfasser: Greene, Christopher J., DPM, Bibbo, Christopher, DO, DPM, FACFAS
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container_title The Journal of foot and ankle surgery
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creator Greene, Christopher J., DPM
Bibbo, Christopher, DO, DPM, FACFAS
description Abstract Traditional transmetatarsal amputations are a reliable level of amputation. However, amputations at the Lisfranc level have met with limited success owing to improper biomechanics resulting from tendon imbalance, ultimately leading to foot deformity positions and an unstable soft tissue envelope with ensuing skin breakdown, infection, and below-the-knee amputation. We describe proper tendon rebalancing that results in improved biomechanics and a more reliable and stable amputation at the more proximal Lisfranc level.
doi_str_mv 10.1053/j.jfas.2017.01.054
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ispartof The Journal of foot and ankle surgery, 2017-07, Vol.56 (4), p.824-826
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subjects amputation
Amputation - adverse effects
Amputation - methods
Biomechanical Phenomena
biomechanics
Foot Deformities - etiology
Foot Deformities - physiopathology
Foot Diseases - etiology
Foot Diseases - surgery
Humans
Intraoperative Period
Lisfranc
Orthopedics
tendon balancing
Tendon Transfer - methods
Tendons - physiopathology
Tendons - surgery
title The Lisfranc Amputation: A More Reliable Level of Amputation With Proper Intraoperative Tendon Balancing
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