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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
Rivista di Anatomia, Fisiopatologia e Chirurgia del Piede
Indexed/Abstracted in: EMBASE, Scopus
Medicina e Chirurgia della Caviglia e del Piede 2014 Aprile;38(1):11-15
Fracture-dislocations of the Lisfranc joint: our experience
Azzone R., Gambini F., Pini E., Guido G.
Second University Clinic, Department of Orthopedics and Traumatology, University of Pisa, Pisa, Italy
OBJECTIVE: The aim of this work was to show how Kirschner wires are an excellent osteosynthesis method to use in Lisfranc fracture, not only as a complemented system to screws but also as primary device.
METHODS: We evaluated 26 patients treated surgically in our clinic over the past five years. All patients were treated by a close or an open reduction and percutaneous fixation with two-five K wires, depending on the lesion, and with a transverse or a double longitudinal dorsal surgical access. In our study the categorisation of injuries was done using the Myerson classification and at the follow up control we assessed the functional level using AOFAS midfoot parameters and the parameters of the alignment of the foot with X-rays.
RESULTS: We obtained a mean score of 79.2 points (range, 51 to 100) with 13 excellent cases and only three bad cases. All the complications were resolved with appropriate medical therapy and physiotherapy. No patient was submitted to a surgery immediately to correct a defect reduction.
CONCLUSION: Among the methods of synthesis used, Kirschner wires are easy to use, fast and easy to remove and they allow a good reduction and an anatomical osteosynthesis of the lesion.