Percutaneous Reduction and 2.7-mm Cortical Screw Fixation for Low-Energy Lisfranc Injuries
| Autor: | Gi Won Choi, Jeong Hwan Ahn, Young Hwan Park, Hak Jun Kim |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Percutaneous medicine.medical_treatment Arthrodesis Bone Screws Fracture Fixation Internal Fractures Bone 03 medical and health sciences 0302 clinical medicine Patient satisfaction medicine Humans Orthopedics and Sports Medicine Clinical significance Metatarsal Bones Reduction (orthopedic surgery) 030222 orthopedics Lisfranc injury Receiver operating characteristic business.industry 030229 sport sciences musculoskeletal system equipment and supplies medicine.disease Surgery surgical procedures operative business Complication |
| Zdroj: | The Journal of Foot and Ankle Surgery. 59:914-918 |
| ISSN: | 1067-2516 |
| Popis: | To use the advantages of transarticular screw fixation while minimizing iatrogenic involved joint damage and screw irritation, it is important to determine the screw size. The aim of this study was to analyze the outcomes of percutaneous reduction and 2.7-mm cortical screw fixation for low-energy Lisfranc injuries and determine whether the procedure is a safe alternative to traditional screw fixation using a larger screw size. A review was performed for all patients who underwent percutaneous reduction and 2.7-mm cortical screw fixation for low-energy Lisfranc injuries at a single institution over a 6-year period. Thirty-one patients were enrolled in this study. Patients were assessed clinically and radiographically for demographics, foot function index (FFI), numerical rating scale (NRS) for pain, patient satisfaction, and complication rates. Factors affecting screw breakage and its clinical relevance were also analyzed. The FFI and NRS for pain were 17.2 ± 14.7 (range 0.8 to 57.8) and 3.1 ± 2.3 (range 0 to 8) points, respectively, at the 12-month follow-up visit. One patient (3.2%) underwent arthrodesis for the development of posttraumatic arthritis; all other patients recovered without sequelae. Screw breakage was identified in 7 patients (22.6%). There was no significant difference between patients with and without screw breakage in terms of FFI, NRS for pain, patient satisfaction, or complication rate. Body mass index (BMI) was significantly higher in patients with screw breakage than in those without screw breakage. Receiver operator characteristics curve analysis demonstrated a strong relationship between BMI and screw breakage (area under the curve = 90%, p.001), and the potential BMI cutoff value was 27.8 kg/m |
| Databáze: | OpenAIRE |
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