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Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation

We present a case of a 10-year-old girl who sustained a Lisfranc fracture-dislocation after an all-terrain vehicle accident. She underwent open reduction and internal fixation with smooth Kirschner wires. At 5-year follow-up, she had developed functional pain and radiographic evidence of degenerativ...

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Autores principales: Lesko, Gina, Altman, Kyle, Hogue, Grant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132315/
https://www.ncbi.nlm.nih.gov/pubmed/30211381
http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00004
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author Lesko, Gina
Altman, Kyle
Hogue, Grant
author_facet Lesko, Gina
Altman, Kyle
Hogue, Grant
author_sort Lesko, Gina
collection PubMed
description We present a case of a 10-year-old girl who sustained a Lisfranc fracture-dislocation after an all-terrain vehicle accident. She underwent open reduction and internal fixation with smooth Kirschner wires. At 5-year follow-up, she had developed functional pain and radiographic evidence of degenerative arthritis and partial fusion of her midfoot. There are several possible explanations for this outcome, including loss of reduction, traumatic or iatrogenic physeal injury, and severity of initial injury. Long-term outcomes in children with Lisfranc injuries are not well described. Our case may begin to shed light on the natural history of these injuries in the pediatric population, with the consideration of potential treatment implications and pitfalls.
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spelling pubmed-61323152018-09-12 Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation Lesko, Gina Altman, Kyle Hogue, Grant J Am Acad Orthop Surg Glob Res Rev Case Report We present a case of a 10-year-old girl who sustained a Lisfranc fracture-dislocation after an all-terrain vehicle accident. She underwent open reduction and internal fixation with smooth Kirschner wires. At 5-year follow-up, she had developed functional pain and radiographic evidence of degenerative arthritis and partial fusion of her midfoot. There are several possible explanations for this outcome, including loss of reduction, traumatic or iatrogenic physeal injury, and severity of initial injury. Long-term outcomes in children with Lisfranc injuries are not well described. Our case may begin to shed light on the natural history of these injuries in the pediatric population, with the consideration of potential treatment implications and pitfalls. Wolters Kluwer 2018-03-08 /pmc/articles/PMC6132315/ /pubmed/30211381 http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00004 Text en Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Lesko, Gina
Altman, Kyle
Hogue, Grant
Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation
title Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation
title_full Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation
title_fullStr Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation
title_full_unstemmed Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation
title_short Midfoot Degenerative Arthritis and Partial Fusion After Pediatric Lisfranc Fracture-Dislocation
title_sort midfoot degenerative arthritis and partial fusion after pediatric lisfranc fracture-dislocation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132315/
https://www.ncbi.nlm.nih.gov/pubmed/30211381
http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00004
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