Lisfranc Joint Ligament Complex Reconstruction: A Promising Solution for Missed, Delayed, or Chronic Lisfranc Injury Without Arthritis
The current classifications of “Lisfranc injury” can be purely ligamentous (low-grade midfoot sprains) or involve the osseous and articular structures (high-grade Lisfranc fracture displacements). The first type is often difficult to detect. If these patients are not properly treated, long-term disa...
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| Veröffentlicht in: | The Journal of foot and ankle surgery 2017-11, Vol.56 (6), p.1350-1356 |
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| container_title | The Journal of foot and ankle surgery |
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| creator | De los Santos-Real, Raúl Canillas, Fernando Varas-Navas, Jesús Morales-Muñoz, Patricia Barrio-Sanz, Patricia Medina-Santos, Mónica |
| description | The current classifications of “Lisfranc injury” can be purely ligamentous (low-grade midfoot sprains) or involve the osseous and articular structures (high-grade Lisfranc fracture displacements). The first type is often difficult to detect. If these patients are not properly treated, long-term disability can result. The rate of missed or delayed diagnoses has ranged from 13% to 24%, primarily owing to the subtlety of the radiographic findings. This is relatively more common in cases of subtle ligamentous injury (19%). The aim of the present report was to provide a new technique for missed or delayed Lisfranc injury without degenerative local signs. The Lisfranc ligament complex reconstruction is performed with a gracilis tendon graft and is protected by temporary screw fixation. We performed this technique in 3 patients. All 3 patients obtained good results, have been able to resume their previous activities, and have stated they would undergo this type of procedure again. The minimum follow-up length was 2 years. |
| doi_str_mv | 10.1053/j.jfas.2017.06.025 |
| format | Article |
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The first type is often difficult to detect. If these patients are not properly treated, long-term disability can result. The rate of missed or delayed diagnoses has ranged from 13% to 24%, primarily owing to the subtlety of the radiographic findings. This is relatively more common in cases of subtle ligamentous injury (19%). The aim of the present report was to provide a new technique for missed or delayed Lisfranc injury without degenerative local signs. The Lisfranc ligament complex reconstruction is performed with a gracilis tendon graft and is protected by temporary screw fixation. We performed this technique in 3 patients. All 3 patients obtained good results, have been able to resume their previous activities, and have stated they would undergo this type of procedure again. The minimum follow-up length was 2 years.</description><identifier>ISSN: 1067-2516</identifier><identifier>EISSN: 1542-2224</identifier><identifier>DOI: 10.1053/j.jfas.2017.06.025</identifier><identifier>PMID: 28843550</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Bone Screws ; Chronic Disease ; cuneiform ; Delayed Diagnosis ; Diagnostic Errors ; Female ; Follow-Up Studies ; Foot Joints - diagnostic imaging ; Foot Joints - injuries ; Foot Joints - surgery ; foot surgery ; Fracture Fixation, Internal - instrumentation ; Fracture Fixation, Internal - methods ; Gracilis Muscle - blood supply ; Gracilis Muscle - transplantation ; gracilis tendon ; Humans ; ligamentoplasty ; Ligaments, Articular - diagnostic imaging ; Ligaments, Articular - injuries ; Ligaments, Articular - surgery ; Lisfranc injury ; Reconstructive Surgical Procedures - methods ; Sampling Studies ; Surgical Flaps - blood supply ; Surgical Flaps - transplantation ; Treatment Outcome ; Young Adult</subject><ispartof>The Journal of foot and ankle surgery, 2017-11, Vol.56 (6), p.1350-1356</ispartof><rights>2017 American College of Foot and Ankle Surgeons</rights><rights>Copyright © 2017 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-8783384a1b60439caa651feb7369f19278db35f7d6c067291ec503a17bb649743</citedby><cites>FETCH-LOGICAL-c356t-8783384a1b60439caa651feb7369f19278db35f7d6c067291ec503a17bb649743</cites><orcidid>0000-0002-6158-1123</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.jfas.2017.06.025$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28843550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>De los Santos-Real, Raúl</creatorcontrib><creatorcontrib>Canillas, Fernando</creatorcontrib><creatorcontrib>Varas-Navas, Jesús</creatorcontrib><creatorcontrib>Morales-Muñoz, Patricia</creatorcontrib><creatorcontrib>Barrio-Sanz, Patricia</creatorcontrib><creatorcontrib>Medina-Santos, Mónica</creatorcontrib><title>Lisfranc Joint Ligament Complex Reconstruction: A Promising Solution for Missed, Delayed, or Chronic Lisfranc Injury Without Arthritis</title><title>The Journal of foot and ankle surgery</title><addtitle>J Foot Ankle Surg</addtitle><description>The current classifications of “Lisfranc injury” can be purely ligamentous (low-grade midfoot sprains) or involve the osseous and articular structures (high-grade Lisfranc fracture displacements). The first type is often difficult to detect. If these patients are not properly treated, long-term disability can result. The rate of missed or delayed diagnoses has ranged from 13% to 24%, primarily owing to the subtlety of the radiographic findings. This is relatively more common in cases of subtle ligamentous injury (19%). The aim of the present report was to provide a new technique for missed or delayed Lisfranc injury without degenerative local signs. The Lisfranc ligament complex reconstruction is performed with a gracilis tendon graft and is protected by temporary screw fixation. We performed this technique in 3 patients. All 3 patients obtained good results, have been able to resume their previous activities, and have stated they would undergo this type of procedure again. The minimum follow-up length was 2 years.</description><subject>Adult</subject><subject>Bone Screws</subject><subject>Chronic Disease</subject><subject>cuneiform</subject><subject>Delayed Diagnosis</subject><subject>Diagnostic Errors</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Foot Joints - diagnostic imaging</subject><subject>Foot Joints - injuries</subject><subject>Foot Joints - surgery</subject><subject>foot surgery</subject><subject>Fracture Fixation, Internal - instrumentation</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Gracilis Muscle - blood supply</subject><subject>Gracilis Muscle - transplantation</subject><subject>gracilis tendon</subject><subject>Humans</subject><subject>ligamentoplasty</subject><subject>Ligaments, Articular - diagnostic imaging</subject><subject>Ligaments, Articular - injuries</subject><subject>Ligaments, Articular - surgery</subject><subject>Lisfranc injury</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>Sampling Studies</subject><subject>Surgical Flaps - blood supply</subject><subject>Surgical Flaps - transplantation</subject><subject>Treatment Outcome</subject><subject>Young Adult</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>eNp9kMuO1DAQRSMEYh7wAyyQlyxI8CO2E8Sm1TAwqBGIh1hajlOZdpTYPbaD6B_gu3HUwyxZ1VXp1i3dUxTPCK4I5uzVWI2DjhXFRFZYVJjyB8U54TUtKaX1w6yxkCXlRJwVFzGOGFPaNvxxcUabpmac4_Piz87GIWhn0EdvXUI7e6NnyGLr58MEv9FXMN7FFBaTrHev0QZ9CX620bob9M1Py7pFgw_ok40R-pfoLUz6uIq82-6Dd9ag-yfXblzCEf20ae-XhDYh7YNNNj4pHg16ivD0bl4WP67efd9-KHef319vN7vSMC5S2ciGsabWpBO4Zq3RWnAyQCeZaAfSUtn0HeOD7IXJ1WlLwHDMNJFdJ-pW1uyyeHHKPQR_u0BMKlcxME3agV-iIi1jlJFaimylJ6sJPsYAgzoEO-twVASrlb8a1cpfrfwVFirzz0fP7_KXbob-_uQf8Gx4czJAbvnLQlDRWHAGehvAJNV7-7_8v_RMl3c</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>De los Santos-Real, Raúl</creator><creator>Canillas, Fernando</creator><creator>Varas-Navas, Jesús</creator><creator>Morales-Muñoz, Patricia</creator><creator>Barrio-Sanz, Patricia</creator><creator>Medina-Santos, Mónica</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><orcidid>https://orcid.org/0000-0002-6158-1123</orcidid></search><sort><creationdate>201711</creationdate><title>Lisfranc Joint Ligament Complex Reconstruction: A Promising Solution for Missed, Delayed, or Chronic Lisfranc Injury Without Arthritis</title><author>De los Santos-Real, Raúl ; 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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Bone Screws Chronic Disease cuneiform Delayed Diagnosis Diagnostic Errors Female Follow-Up Studies Foot Joints - diagnostic imaging Foot Joints - injuries Foot Joints - surgery foot surgery Fracture Fixation, Internal - instrumentation Fracture Fixation, Internal - methods Gracilis Muscle - blood supply Gracilis Muscle - transplantation gracilis tendon Humans ligamentoplasty Ligaments, Articular - diagnostic imaging Ligaments, Articular - injuries Ligaments, Articular - surgery Lisfranc injury Reconstructive Surgical Procedures - methods Sampling Studies Surgical Flaps - blood supply Surgical Flaps - transplantation Treatment Outcome Young Adult |
| title | Lisfranc Joint Ligament Complex Reconstruction: A Promising Solution for Missed, Delayed, or Chronic Lisfranc Injury Without Arthritis |
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