Reducción cerrada y fijación percutánea con agujas de la fractura-luxación de Lisfranc

Abstract

Closed reduction and percutaneous wire fixation of Lisfranc fracture-dislocation Background: the purpose of this study was to analyse the clinical and radiological results of closed reduction and percutaneous wire fixation of Lisfranc fracture-dislocation after a minimum follow-up of 10 years. The results for this same cohort were previously published in 2009. Methods: 12 cases were retrospectively reviewed. The functional outcome was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) scale and the level of patient subjective satisfaction. For the radiological assessment, the anatomical reduction and the tarsometatarsal alignment were analysed. Results: the mean follow-up was 15.75 years. According to the AOFAS scale, cases with anatomical reduction had higher score (81) compared to cases without anatomical reduction (71.6). The patient subjective satisfaction was also higher when anatomical reduction was present. Long-term results showed a more pronounced worsening at AOFAS scale and patient subjective satisfaction when anatomical reduction or tarsometatarsal alignment were not present.