Severe open Lisfranc injuries: one-stage operation through internal fixation associated with vacuum sealing drainage
This study aimed to investigate the clinical feasibility of treating severe open Lisfranc injuries by means of one-stage internal fixation with k-wires associated with vacuum sealing drainage (VSD). The clinical outcomes of 20 cases of severe open Lisfranc joint fracture-dislocation treated by using...
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Veröffentlicht in: | Journal of orthopaedic surgery and research 2016-11, Vol.11 (1), p.134-134, Article 134 |
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creator | Qu, Wenqing Ni, Shuqin Wang, Zhenhai Zhao, Yong Zhang, Shimin Cheng, Yiheng Liu, Tong Yu, Min Wang, Dan |
description | This study aimed to investigate the clinical feasibility of treating severe open Lisfranc injuries by means of one-stage internal fixation with k-wires associated with vacuum sealing drainage (VSD).
The clinical outcomes of 20 cases of severe open Lisfranc joint fracture-dislocation treated by using one-stage internal fixation with k-wires associated with VSD, after debridement and suturing during emergency treatment, were reviewed.
At 6 and 12 months after surgery, the American Orthopaedic Foot and Ankle Society midfoot scores were 69.2 and 78.2, the positive rates were 75 and 85 %, and the average visual analogue scale scores were 4.3 and 1.3, respectively. The average time of internal fixation surgery was 47 min (30-70 min). There were three cases of wound-edge necrosis; however, there were no cases of skin necrosis around the incision, or deep infection. The mean time of first hospital stay was 16.1 days (10-23 days).
Treatment of severe open Lisfranc fracture and dislocation through one-stage internal fixation with k-wires in association with VSD led to fast anatomical reduction, stabilized bony structure, fast soft tissue recovery, and good short-term follow-up results. |
doi_str_mv | 10.1186/s13018-016-0471-1 |
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The clinical outcomes of 20 cases of severe open Lisfranc joint fracture-dislocation treated by using one-stage internal fixation with k-wires associated with VSD, after debridement and suturing during emergency treatment, were reviewed.
At 6 and 12 months after surgery, the American Orthopaedic Foot and Ankle Society midfoot scores were 69.2 and 78.2, the positive rates were 75 and 85 %, and the average visual analogue scale scores were 4.3 and 1.3, respectively. The average time of internal fixation surgery was 47 min (30-70 min). There were three cases of wound-edge necrosis; however, there were no cases of skin necrosis around the incision, or deep infection. The mean time of first hospital stay was 16.1 days (10-23 days).
Treatment of severe open Lisfranc fracture and dislocation through one-stage internal fixation with k-wires in association with VSD led to fast anatomical reduction, stabilized bony structure, fast soft tissue recovery, and good short-term follow-up results.</description><identifier>ISSN: 1749-799X</identifier><identifier>EISSN: 1749-799X</identifier><identifier>DOI: 10.1186/s13018-016-0471-1</identifier><identifier>PMID: 27814724</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Adult ; Aged ; Debridement - methods ; Drainage - methods ; Feasibility Studies ; Female ; Foot Injuries - surgery ; Fracture Fixation, Internal ; Fractures, Open - surgery ; Humans ; Joint Dislocations - surgery ; Length of Stay ; Male ; Middle Aged ; Negative-Pressure Wound Therapy - methods ; Operative Time ; Orthopedics ; Treatment Outcome ; Wound Closure Techniques ; Young Adult</subject><ispartof>Journal of orthopaedic surgery and research, 2016-11, Vol.11 (1), p.134-134, Article 134</ispartof><rights>Copyright BioMed Central 2016</rights><rights>The Author(s). 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-96667fc2be3a9ffe651676d34069e7047819c541f04607a0f21579c3bf9c27b23</citedby><cites>FETCH-LOGICAL-c427t-96667fc2be3a9ffe651676d34069e7047819c541f04607a0f21579c3bf9c27b23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095961/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095961/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27814724$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Qu, Wenqing</creatorcontrib><creatorcontrib>Ni, Shuqin</creatorcontrib><creatorcontrib>Wang, Zhenhai</creatorcontrib><creatorcontrib>Zhao, Yong</creatorcontrib><creatorcontrib>Zhang, Shimin</creatorcontrib><creatorcontrib>Cheng, Yiheng</creatorcontrib><creatorcontrib>Liu, Tong</creatorcontrib><creatorcontrib>Yu, Min</creatorcontrib><creatorcontrib>Wang, Dan</creatorcontrib><title>Severe open Lisfranc injuries: one-stage operation through internal fixation associated with vacuum sealing drainage</title><title>Journal of orthopaedic surgery and research</title><addtitle>J Orthop Surg Res</addtitle><description>This study aimed to investigate the clinical feasibility of treating severe open Lisfranc injuries by means of one-stage internal fixation with k-wires associated with vacuum sealing drainage (VSD).
The clinical outcomes of 20 cases of severe open Lisfranc joint fracture-dislocation treated by using one-stage internal fixation with k-wires associated with VSD, after debridement and suturing during emergency treatment, were reviewed.
At 6 and 12 months after surgery, the American Orthopaedic Foot and Ankle Society midfoot scores were 69.2 and 78.2, the positive rates were 75 and 85 %, and the average visual analogue scale scores were 4.3 and 1.3, respectively. The average time of internal fixation surgery was 47 min (30-70 min). There were three cases of wound-edge necrosis; however, there were no cases of skin necrosis around the incision, or deep infection. The mean time of first hospital stay was 16.1 days (10-23 days).
Treatment of severe open Lisfranc fracture and dislocation through one-stage internal fixation with k-wires in association with VSD led to fast anatomical reduction, stabilized bony structure, fast soft tissue recovery, and good short-term follow-up results.</description><subject>Adult</subject><subject>Aged</subject><subject>Debridement - methods</subject><subject>Drainage - methods</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Foot Injuries - surgery</subject><subject>Fracture Fixation, Internal</subject><subject>Fractures, Open - surgery</subject><subject>Humans</subject><subject>Joint Dislocations - surgery</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Negative-Pressure Wound Therapy - methods</subject><subject>Operative Time</subject><subject>Orthopedics</subject><subject>Treatment Outcome</subject><subject>Wound Closure Techniques</subject><subject>Young Adult</subject><issn>1749-799X</issn><issn>1749-799X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkU2LFDEQhoO4uB_6A7xIwIuX1lQnnXQ8CMuyq8LAHlTwFjKZykyGnmRM0qP---2x12X1VAX15KUqDyEvgb0F6OW7ApxB3zCQDRMKGnhCzkAJ3Sitvz991J-S81K2jHWs68UzctqqHoRqxRmpX_CAGWnaY6SLUHy20dEQt2MOWN7TFLEp1a7_ENnWkCKtm5zG9WaiKuZoB-rDr3liS0ku2Ior-jPUDT1YN447WtAOIa7pKtsQp6zn5MTboeCL-3pBvt1cf7361CxuP36-ulw0TrSqNlpKqbxrl8it9h5lB1LJFRdMalTTxT1o1wnwTEimLPMtdEo7vvTatWrZ8gvyYc7dj8sdrhzGmu1g9jnsbP5tkg3m30kMG7NOB9Mx3WkJU8Cb-4CcfoxYqtmF4nAYbMQ0FgM9l4q3WvIJff0fuk3j8XdmijMBrZgomCmXUykZ_cMywMzRqZmdmsmpOTo1xyVePb7i4cVfifwO6S6fIw</recordid><startdate>20161104</startdate><enddate>20161104</enddate><creator>Qu, Wenqing</creator><creator>Ni, Shuqin</creator><creator>Wang, Zhenhai</creator><creator>Zhao, Yong</creator><creator>Zhang, Shimin</creator><creator>Cheng, Yiheng</creator><creator>Liu, Tong</creator><creator>Yu, Min</creator><creator>Wang, Dan</creator><general>BioMed Central</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>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20161104</creationdate><title>Severe open Lisfranc injuries: one-stage operation through internal fixation associated with vacuum sealing drainage</title><author>Qu, Wenqing ; Ni, Shuqin ; Wang, Zhenhai ; Zhao, Yong ; Zhang, Shimin ; Cheng, Yiheng ; Liu, Tong ; Yu, Min ; Wang, Dan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-96667fc2be3a9ffe651676d34069e7047819c541f04607a0f21579c3bf9c27b23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Debridement - methods</topic><topic>Drainage - methods</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Foot Injuries - surgery</topic><topic>Fracture Fixation, Internal</topic><topic>Fractures, Open - surgery</topic><topic>Humans</topic><topic>Joint Dislocations - surgery</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Negative-Pressure Wound Therapy - methods</topic><topic>Operative Time</topic><topic>Orthopedics</topic><topic>Treatment Outcome</topic><topic>Wound Closure Techniques</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Qu, Wenqing</creatorcontrib><creatorcontrib>Ni, Shuqin</creatorcontrib><creatorcontrib>Wang, Zhenhai</creatorcontrib><creatorcontrib>Zhao, Yong</creatorcontrib><creatorcontrib>Zhang, Shimin</creatorcontrib><creatorcontrib>Cheng, Yiheng</creatorcontrib><creatorcontrib>Liu, Tong</creatorcontrib><creatorcontrib>Yu, Min</creatorcontrib><creatorcontrib>Wang, Dan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of orthopaedic surgery and research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Qu, Wenqing</au><au>Ni, Shuqin</au><au>Wang, Zhenhai</au><au>Zhao, Yong</au><au>Zhang, Shimin</au><au>Cheng, Yiheng</au><au>Liu, Tong</au><au>Yu, Min</au><au>Wang, Dan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe open Lisfranc injuries: one-stage operation through internal fixation associated with vacuum sealing drainage</atitle><jtitle>Journal of orthopaedic surgery and research</jtitle><addtitle>J Orthop Surg Res</addtitle><date>2016-11-04</date><risdate>2016</risdate><volume>11</volume><issue>1</issue><spage>134</spage><epage>134</epage><pages>134-134</pages><artnum>134</artnum><issn>1749-799X</issn><eissn>1749-799X</eissn><abstract>This study aimed to investigate the clinical feasibility of treating severe open Lisfranc injuries by means of one-stage internal fixation with k-wires associated with vacuum sealing drainage (VSD).
The clinical outcomes of 20 cases of severe open Lisfranc joint fracture-dislocation treated by using one-stage internal fixation with k-wires associated with VSD, after debridement and suturing during emergency treatment, were reviewed.
At 6 and 12 months after surgery, the American Orthopaedic Foot and Ankle Society midfoot scores were 69.2 and 78.2, the positive rates were 75 and 85 %, and the average visual analogue scale scores were 4.3 and 1.3, respectively. The average time of internal fixation surgery was 47 min (30-70 min). There were three cases of wound-edge necrosis; however, there were no cases of skin necrosis around the incision, or deep infection. The mean time of first hospital stay was 16.1 days (10-23 days).
Treatment of severe open Lisfranc fracture and dislocation through one-stage internal fixation with k-wires in association with VSD led to fast anatomical reduction, stabilized bony structure, fast soft tissue recovery, and good short-term follow-up results.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>27814724</pmid><doi>10.1186/s13018-016-0471-1</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Debridement - methods Drainage - methods Feasibility Studies Female Foot Injuries - surgery Fracture Fixation, Internal Fractures, Open - surgery Humans Joint Dislocations - surgery Length of Stay Male Middle Aged Negative-Pressure Wound Therapy - methods Operative Time Orthopedics Treatment Outcome Wound Closure Techniques Young Adult |
title | Severe open Lisfranc injuries: one-stage operation through internal fixation associated with vacuum sealing drainage |
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