Patient-Reported Outcomes after Long-Term Follow-Up of Lisfranc Injuries Treated with Open Reduction Internal Fixation

Autor: David M. Walton MD, Derek J. Semaan, Ronit Shah BS, Christopher Robbins PhD, James R. Holmes MD, Paul G. Talusan MD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Foot & Ankle Orthopaedics, Vol 7 (2022)
Druh dokumentu: article
ISSN: 2473-0114
24730114
DOI: 10.1177/2473011421S00494
Popis: Category: Midfoot/Forefoot; Trauma Introduction/Purpose: Lisfranc injuries are thought to contribute to debilitating outcomes in polytrauma patients. Due to the relative rarity of Lisfranc injuries, consistent long-term follow-up is a challenge and clinical outcomes are difficult to assess in this patient population. As a result, there exists a need for further investigation into patient-related clinical outcomes after Lisfranc injury. The purpose of this study was to collect long-term clinical outcome data following Lisfranc injuries using PROMIS Physical Function (PROMIS-PF) and Visual Analogue Scale-Foot and Ankle (VAS-FA). Methods: A chart review was performed to identify all patients who had surgical treatment of an acute Lisfranc injury at our institution from 2005 to 2014. Of forty-five patients identified, we were able to recruit nineteen for a follow-up clinic visit consisting of a physical exam, administration of questionnaires addressing pain and medication usage, radiographs, and completion of outcome surveys including PROMIS-Physical Function and Visual Analogue Scale-Foot and Ankle. Results: There were 14 female and 5 male patients enrolled in the study with a mean time of 6.25 years from the time of injury. Within this cohort, the mean PROMIS-PF score was 52.4+-8.2 and the mean VAS-Foot and Ankle Score was 76.6+-22.3. The risk factors of age, gender, BMI, smoking status, depression, and time from injury showed no statistically significant association with PROMIS-PF or VAS-FA scores using p
Databáze: Directory of Open Access Journals
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