Patient-Reported Outcome Measures After Surgical Management of Unstable Lisfranc Injuries in Athletes

Autor: Cortez L. Brown MD, Nia A. James MD, Chukwudi Onyeukwu MD, Rebekah Belayneh MD, Lorraine Boakye MD, MaCalus V. Hogan MD, MBA
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Foot & Ankle Orthopaedics, Vol 8 (2023)
Druh dokumentu: article
ISSN: 2473-0114
24730114
DOI: 10.1177/24730114231160762
Popis: Background: Athletes sustaining Lisfranc joint instability after a low-energy injury often undergo surgical fixation. Limited studies report validated patient-reported outcome measures (PROMs) for this specific patient population. Our purpose was to report PROMs of athletes experiencing instability after a low-energy Lisfranc injury and undergoing surgical fixation. Methods: Twenty-nine athletes (23 competitive, 6 recreational) sustained an unstable Lisfranc injury (14 acute, 15 chronic) and met our inclusion criteria. Injuries were classified as acute if surgically managed within 6 weeks. All athletes completed validated PROMs pre- and postoperatively. The cohort underwent various open reduction internal fixation methods. We evaluated outcomes with the Foot and Ankle Ability Measure (FAAM) activities of daily living (ADL) and sports subscales. Results: Fourteen of 29 (48%) athletes reported PROMs at ≥2 years with a median follow-up time of 44.5 months. Substantial improvement for both FAAM ADL (50% vs 93%; P
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