Flexible Fixation Treatment Strategies for Low-energy Lisfranc Injuries

Nasser Heyrani, Justin N. Hopkins, Kevin N. Ngyuyen, Christopher Kreulen, Eric Giza

Research output: Contribution to journalArticle

Abstract

Ligamentous Lisfranc injuries are characterized by disruption between the articulation of the medial cuneiform and base of the second metatarsal. Ligamentous injuries can be either subtle or obvious and can also occur with tarsometatarsal subluxations or dislocations. These injuries typically happen in athletic activity and are also seen lower-energy falls. Conventional use of transarticular screws to repair Lisfranc ligament injuries has provided good outcomes; however, the screws are also believed to decrease the natural physiological movement of the Lisfranc joint. As treatment options for ligamentous Lisfranc injuries move away from transarticular screws and toward bridge plating and motion-preserving fixation techniques, the goal of stable fixation is still important for optimizing long-term results. This article will focus on the technique of using a suture button device, and also introduce the technique of Lisfranc InternalBrace fixation. The internal brace technique allows for less bone loss from drilling, allows for collagen ingrowth, and can be used in conjunction with bridge plating techniques. Level of Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence.

Original languageEnglish (US)
JournalTechniques in Foot and Ankle Surgery
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Wounds and Injuries
Braces
Metatarsal Bones
Ligaments
Sutures
Sports
Collagen
Joints
Bone and Bones
Equipment and Supplies

Keywords

  • internal brace
  • Lisfranc injury
  • tightrope

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Flexible Fixation Treatment Strategies for Low-energy Lisfranc Injuries. / Heyrani, Nasser; Hopkins, Justin N.; Ngyuyen, Kevin N.; Kreulen, Christopher; Giza, Eric.

In: Techniques in Foot and Ankle Surgery, 01.01.2018.

Research output: Contribution to journalArticle

@article{7d7240fdc1004e4e8957352f99aa8b38,
title = "Flexible Fixation Treatment Strategies for Low-energy Lisfranc Injuries",
abstract = "Ligamentous Lisfranc injuries are characterized by disruption between the articulation of the medial cuneiform and base of the second metatarsal. Ligamentous injuries can be either subtle or obvious and can also occur with tarsometatarsal subluxations or dislocations. These injuries typically happen in athletic activity and are also seen lower-energy falls. Conventional use of transarticular screws to repair Lisfranc ligament injuries has provided good outcomes; however, the screws are also believed to decrease the natural physiological movement of the Lisfranc joint. As treatment options for ligamentous Lisfranc injuries move away from transarticular screws and toward bridge plating and motion-preserving fixation techniques, the goal of stable fixation is still important for optimizing long-term results. This article will focus on the technique of using a suture button device, and also introduce the technique of Lisfranc InternalBrace fixation. The internal brace technique allows for less bone loss from drilling, allows for collagen ingrowth, and can be used in conjunction with bridge plating techniques. Level of Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence.",
keywords = "internal brace, Lisfranc injury, tightrope",
author = "Nasser Heyrani and Hopkins, {Justin N.} and Ngyuyen, {Kevin N.} and Christopher Kreulen and Eric Giza",
year = "2018",
month = "1",
day = "1",
doi = "10.1097/BTF.0000000000000216",
language = "English (US)",
journal = "Techniques in Foot and Ankle Surgery",
issn = "1536-0644",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Flexible Fixation Treatment Strategies for Low-energy Lisfranc Injuries

AU - Heyrani, Nasser

AU - Hopkins, Justin N.

AU - Ngyuyen, Kevin N.

AU - Kreulen, Christopher

AU - Giza, Eric

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Ligamentous Lisfranc injuries are characterized by disruption between the articulation of the medial cuneiform and base of the second metatarsal. Ligamentous injuries can be either subtle or obvious and can also occur with tarsometatarsal subluxations or dislocations. These injuries typically happen in athletic activity and are also seen lower-energy falls. Conventional use of transarticular screws to repair Lisfranc ligament injuries has provided good outcomes; however, the screws are also believed to decrease the natural physiological movement of the Lisfranc joint. As treatment options for ligamentous Lisfranc injuries move away from transarticular screws and toward bridge plating and motion-preserving fixation techniques, the goal of stable fixation is still important for optimizing long-term results. This article will focus on the technique of using a suture button device, and also introduce the technique of Lisfranc InternalBrace fixation. The internal brace technique allows for less bone loss from drilling, allows for collagen ingrowth, and can be used in conjunction with bridge plating techniques. Level of Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence.

AB - Ligamentous Lisfranc injuries are characterized by disruption between the articulation of the medial cuneiform and base of the second metatarsal. Ligamentous injuries can be either subtle or obvious and can also occur with tarsometatarsal subluxations or dislocations. These injuries typically happen in athletic activity and are also seen lower-energy falls. Conventional use of transarticular screws to repair Lisfranc ligament injuries has provided good outcomes; however, the screws are also believed to decrease the natural physiological movement of the Lisfranc joint. As treatment options for ligamentous Lisfranc injuries move away from transarticular screws and toward bridge plating and motion-preserving fixation techniques, the goal of stable fixation is still important for optimizing long-term results. This article will focus on the technique of using a suture button device, and also introduce the technique of Lisfranc InternalBrace fixation. The internal brace technique allows for less bone loss from drilling, allows for collagen ingrowth, and can be used in conjunction with bridge plating techniques. Level of Evidence: Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence.

KW - internal brace

KW - Lisfranc injury

KW - tightrope

UR - http://www.scopus.com/inward/record.url?scp=85053853003&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053853003&partnerID=8YFLogxK

U2 - 10.1097/BTF.0000000000000216

DO - 10.1097/BTF.0000000000000216

M3 - Article

AN - SCOPUS:85053853003

JO - Techniques in Foot and Ankle Surgery

JF - Techniques in Foot and Ankle Surgery

SN - 1536-0644

ER -