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 |
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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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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.</description><identifier>ISSN: 1067-2516</identifier><identifier>EISSN: 1542-2224</identifier><identifier>DOI: 10.1053/j.jfas.2017.01.054</identifier><identifier>PMID: 28633785</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>The Journal of foot and ankle surgery, 2017-07, Vol.56 (4), p.824-826</ispartof><rights>American College of Foot and Ankle Surgeons</rights><rights>2017 American College of Foot and Ankle Surgeons</rights><rights>Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. 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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.</description><subject>amputation</subject><subject>Amputation - adverse effects</subject><subject>Amputation - methods</subject><subject>Biomechanical Phenomena</subject><subject>biomechanics</subject><subject>Foot Deformities - etiology</subject><subject>Foot Deformities - physiopathology</subject><subject>Foot Diseases - etiology</subject><subject>Foot Diseases - surgery</subject><subject>Humans</subject><subject>Intraoperative Period</subject><subject>Lisfranc</subject><subject>Orthopedics</subject><subject>tendon balancing</subject><subject>Tendon Transfer - methods</subject><subject>Tendons - physiopathology</subject><subject>Tendons - surgery</subject><issn>1067-2516</issn><issn>1542-2224</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1rFDEUhgdRbK3-AS8kl97MNCcf8yEirEXbwoqiC3oXMpkTN-PsZJvMLPTfm2FbkV70KgfyvC_Jc7LsNdACqOTnfdFbHQtGoSooFFSKJ9kpSMFyxph4mmZaVjmTUJ5kL2LsKWWsqeXz7ITVJedVLU-z7WaLZO2iDXo0ZLXbz5OenB_fkRX54gOS7zg43Q4JwgMOxNv_IPLTTVvyLfg9BnI9TkEvU7o6INng2CXiox5SsRt_v8yeWT1EfHV3nmWbz582F1f5-uvl9cVqnRsBMOUVdNoKbduSslI0XJeNNJwi10zIigMXyEoUWNfQtK02ltfGmqYVFlDKkp9lb4-1--BvZoyT2rlocEivQD9HBQ0waGoqFpQdURN8jAGt2ge30-FWAVWLYNWrRbBaBCsKKglOoTd3_XO7w-5f5N5oAt4fAUyfPDgMKhqHo8HOBTST6rx7vP_Dg7gZ3OiMHv7gLcbez2FM-hSoyBRVP5YVLxuGilNaV7_4XzZsoVs</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Greene, Christopher J., DPM</creator><creator>Bibbo, Christopher, DO, DPM, FACFAS</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170701</creationdate><title>The Lisfranc Amputation: A More Reliable Level of Amputation With Proper Intraoperative Tendon Balancing</title><author>Greene, Christopher J., DPM ; Bibbo, Christopher, DO, DPM, FACFAS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-71daf4afb6026493a695c30e3a24573134e26e4e8819bbacf38cfc9b4f1e5563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>amputation</topic><topic>Amputation - adverse effects</topic><topic>Amputation - methods</topic><topic>Biomechanical Phenomena</topic><topic>biomechanics</topic><topic>Foot Deformities - etiology</topic><topic>Foot Deformities - physiopathology</topic><topic>Foot Diseases - etiology</topic><topic>Foot Diseases - surgery</topic><topic>Humans</topic><topic>Intraoperative Period</topic><topic>Lisfranc</topic><topic>Orthopedics</topic><topic>tendon balancing</topic><topic>Tendon Transfer - methods</topic><topic>Tendons - physiopathology</topic><topic>Tendons - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Greene, Christopher J., DPM</creatorcontrib><creatorcontrib>Bibbo, Christopher, DO, DPM, FACFAS</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Greene, Christopher J., DPM</au><au>Bibbo, Christopher, DO, DPM, FACFAS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Lisfranc Amputation: A More Reliable Level of Amputation With Proper Intraoperative Tendon Balancing</atitle><jtitle>The Journal of foot and ankle surgery</jtitle><addtitle>J Foot Ankle Surg</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>56</volume><issue>4</issue><spage>824</spage><epage>826</epage><pages>824-826</pages><issn>1067-2516</issn><eissn>1542-2224</eissn><abstract>Abstract Traditional transmetatarsal amputations are a reliable level of amputation. 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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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