Dorsal bridge plating or transarticular screws for Lisfranc fracture dislocations

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Dorsal multiple plating without routine transarticular screws for fixation of Lisfranc injury.

Following a Lisfranc joint injury, stable fixation of the tarsometatarsal joints is crucial to avoid deformity and posttraumatic osteoarthritis, but the ideal method of fixation remains controversial. Kirschner wire (K-wire) fixation of all involved joints with cast immobilization resulted in loss of position, and was replaced by open reduction with improved fixation using transarticular screws...

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Volar plating of dorsal PIPJ fracture-dislocations

1. exposure through A3 pulley 2. mobilization of volar fragment attached to volar plate 3. dorsal blocking wire to reduce and hold joint in place 4. elevation of any depressed articular fragment and bone grafting 5. repositioning of volar fragment over the base of middle phalanx 6. preliminary fixation with K wire 7. plating with mini 1.2 or 1.3mm T plate, or hook plate(s) 8. removal of dorsal ...

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Screw and wire fixation for Lisfranc fracture dislocations.

PURPOSE To assess mid-term outcome of screw and wire fixation for Lisfranc fracture dislocations to determine the risk factors of post-traumatic arthritis. METHODS 15 men and 4 women aged 21 to 58 (mean, 41) years with Lisfranc fractures underwent open/ closed reduction and internal fixation (using screw and wire). Fractures were classified as homolateral (n=7), isolated (n=7), and divergent ...

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Fracture-Dislocations of Lisfranc Joint in Lomé (Togo)

Introduction: The purpose of this prospective study was to describe the clinic pathological varieties of fracture-dislocations of Lisfranc joint and outcome of treatment. Patients and Methods: This study was conducted on 21 cases of fracture-dislocations of the Lisfranc joint treated in our orthopedics trauma unit from 2010 to 2013. We selected middle foot pure dislocations or associated with L...

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Lisfranc fracture dislocations--an important and easily missed fracture in the emergency department.

Two case reports are presented of Lisfranc fractures. There have been many incidents of missed injury in the past and the radiographs are reproduced here together with the important radiographic features. Early diagnosis and orthopaedic referral are necessary because operative treatment is often required.

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ژورنال

عنوان ژورنال: The Bone & Joint Journal

سال: 2018

ISSN: 2049-4394,2049-4408

DOI: 10.1302/0301-620x.100b4.bjj-2017-0899.r2