Effectiveness and cost-effectiveness of primary arthrodesis versus open reduction and internal fixation in patients with Lisfranc fracture instability (The BFF Study) study protocol for a multicenter randomized controlled trial

The Lisfranc injury is a complex injury of the midfoot. It can result in persistent pain and functional impairment if treated inappropriately. In Lisfranc fracture dislocation, treatment options are primary arthrodesis of the midfoot joints or open reduction and internal fixation. The purpose of the...

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Veröffentlicht in:BMC surgery 2021-08, Vol.21 (1), p.1-323, Article 323
Hauptverfasser: van den Boom, N. A. C., Stollenwerck, G. A. N. L., Evers, S. M. A. A., Poeze, M.
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container_issue 1
container_start_page 1
container_title BMC surgery
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creator van den Boom, N. A. C.
Stollenwerck, G. A. N. L.
Evers, S. M. A. A.
Poeze, M.
description The Lisfranc injury is a complex injury of the midfoot. It can result in persistent pain and functional impairment if treated inappropriately. In Lisfranc fracture dislocation, treatment options are primary arthrodesis of the midfoot joints or open reduction and internal fixation. The purpose of the proposed study is to define the optimal treatment for the Lisfranc fracture dislocation, either primary arthrodesis or open reduction and internal fixation, in regard to quality of life, complications, functional outcomes, and cost effectiveness. This study protocol provides a comprehensive overview of the aims and methods of the attached clinical study. Limitations of this study are the absence of patient blinding since it is impossible in surgical intervention, and the outcome measure (AOFAS) that has limited validity not for these injuries. This study will be the first with enough power to define optimal treatment for Lisfranc fracture dislocations. This is necessary since current literature is unclear on this topic.
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subjects Activities of daily living
Anesthesia
Arthritis
Arthrodesis
Care and treatment
Clinical trials
Complications
Control stability
Cost analysis
Cost effectiveness
Dislocation
Economic aspects
Evaluation
Fixation
Fluoroscopy
Foot diseases
Fractures
Injuries
Injury prevention
Internal fixation in fractures
Medical research
Medicine, Experimental
ORIF
Pain
Parameters
Patients
Population studies
Quality of life
Radiographs
Radiography
Study Protocol
Trauma
Traumatic Lisfranc fracture dislocation
title Effectiveness and cost-effectiveness of primary arthrodesis versus open reduction and internal fixation in patients with Lisfranc fracture instability (The BFF Study) study protocol for a multicenter randomized controlled trial
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