Results of Lisfranc Injuries Treated With Interosseous Suture Button Fixation With a Minimum 5-Year Follow-Up

被引：0
作者：
Saito, Guilherme Honda [1 ]
Nishikawa, Danilo Ryuko Candido [2 ]
de Oliveira Jr, Adilson Sanches [3 ]
Fairbanks, Paula Jardim [3 ]
Mendes, Alberto Abussamra Moreira [1 ]
Prado, Marcelo Pires [3 ]
机构：
[1] Hosp Sirio Libanes, Sao Paulo, Brazil
[2] Hosp Servidor Publ Municipal, Sao Paulo, Brazil
[3] Hosp Israelita Albert Einstein, Ave Albert Einstein, BR-05652900 Sao Paulo, Brazil
来源：
FOOT & ANKLE INTERNATIONAL | 2025年
关键词：
Lisfranc; suture button; forefoot; FRACTURE-DISLOCATIONS; INTERNAL-FIXATION; SCREW FIXATION; DEVICE; REDUCTION; OUTCOMES; REPAIR;
D O I：
10.1177/10711007251322166
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Background: Open reduction and internal fixation or primary arthrodesis are considered gold standards for treating Lisfranc injuries. However, several drawbacks are associated with these procedures, such as joint motion loss and potential cartilage damage. More recently, the suture button emerged as an alternative treatment for ligamentous Lisfranc injuries, which can be used either alone or in combination with traditional techniques, with the potential to mitigate some of these potential disadvantages. The primary outcome of the present study was to evaluate the functional outcomes of 20 patients treated with the suture button technique for Lisfranc injuries over a medium- to long-term follow-up period. The secondary outcome was to assess and describe the complications associated with this procedure.Methods: A retrospective review was conducted on 20 patients who underwent operation for acute Lisfranc injuries using the interosseous suture button technique between 2013 and 2019. The mean follow-up was 83 months (range 60-126). Clinical evaluation involved the assessment of complications, reoperations, visual analog scale (VAS) scores, American Orthopaedic Foot & Ankle Society (AOFAS) midfoot scores, patient satisfaction, and ability to return to previous activities. Radiographic analysis was performed aiming to evaluate reduction maintenance and osteoarthritis development.Results: Patients demonstrated excellent outcomes with an average VAS of 0.50 and a mean AOFAS midfoot score of 95.5. Incomplete reduction was the only factor we identified influencing lower VAS and AOFAS scores. Most complications were minor and solved with conservative treatment. More serious complications, such as loss of reduction and posttraumatic arthritis were observed in 2 patients each.Conclusion: In this small series with a relatively long follow-up, we found that the use of an interosseous suture button technique was a reliable method to treat acute Lisfranc injuries, resulting in satisfactory clinical and functional outcomes. However, outcomes including posttraumatic arthritis and loss of reduction raise remain of concern.
引用
收藏
页数：8
相关论文
共 33 条
  • [11] Crates J.M., Barber F.A., Sanders E.J., Subtle Lisfranc subluxation: results of operative and nonoperative treatment, J Foot Ankle Surg, 54, 3, pp. 350-355, (2015)
  • [12] Delman C., Patel M., Campbell M., Kreulen C., Giza E., Flexible fixation technique for Lisfranc injuries, Foot Ankle Int, 40, 11, pp. 1338-1345, (2019)
  • [13] Escudero M.I., Symes M., Veljkovic A., Younger A.S.E., Low-energy Lisfranc injuries in an athletic population: a comprehensive review of the literature and the role of minimally invasive techniques in their management, Foot Ankle Clin, 23, 4, pp. 679-692, (2018)
  • [14] Hopkins J., Nguyen K., Heyrani N., Et al., InternalBrace has biomechanical properties comparable to suture button but less rigid than screw in ligamentous Lisfranc model, J Orthop, 17, pp. 7-12, (2020)
  • [15] Jain K., Drampalos E., Clough T.M., Results of suture button fixation with targeting device aid for displaced ligamentous Lisfranc injuries in the elite athlete, Foot, 30, pp. 43-46, (2017)
  • [16] Koroneos Z., Vannatta E., Kim M., Et al., Biomechanical comparison of FiberTape device repair techniques of ligamentous Lisfranc injury in a cadaveric model, Injury, 52, 4, pp. 692-698, (2021)
  • [17] Koroneos Z.A., Manto K.M., Martinazzi B.J., Et al., Biomechanical comparison of fiber tape device versus transarticular screws for ligamentous Lisfranc injury in a cadaveric model, Am J Sports Med, 50, 12, pp. 3299-3307, (2022)
  • [18] Lachance A.D., Giro M.E., Edelstein A., Lee W., Suture button fixation yields high levels of patient reported outcomes, return to sport, and stable fixation in isolated Lisfranc injuries: a systematic review, J ISAKOS, 8, 6, pp. 474-483, (2023)
  • [19] Lau S., Howells N., Millar M., De Villiers D., Joseph S., Oppy A., Plates, screws, or combination? Radiologic outcomes after Lisfranc fracture dislocation, J Foot Ankle Surg, 55, 4, pp. 799-802, (2016)
  • [20] Nery C., Baumfeld D., Baumfeld T., Et al., Comparison of suture-augmented ligamentplasty to transarticular screws in a Lisfranc cadaveric model, Foot Ankle Int, 41, 6, pp. 735-743, (2020)
1234