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Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries
BACKGROUND: Purely ligamentous Lisfranc injuries are mainly caused by low energy damage and often require surgical treatment. There are several operative techniques for rigid fixation to solve this problem clinically. This study evaluated the effect of using the Tightrope system to reconstruct the L...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573989/ https://www.ncbi.nlm.nih.gov/pubmed/34743702 http://dx.doi.org/10.1186/s12893-021-01394-x |
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author | Yongfei, Fan Chaoyu, Liu Wenqiang, Xu Xiulin, Ma Jian, Xu Wei, Wang |
author_facet | Yongfei, Fan Chaoyu, Liu Wenqiang, Xu Xiulin, Ma Jian, Xu Wei, Wang |
author_sort | Yongfei, Fan |
collection | PubMed |
description | BACKGROUND: Purely ligamentous Lisfranc injuries are mainly caused by low energy damage and often require surgical treatment. There are several operative techniques for rigid fixation to solve this problem clinically. This study evaluated the effect of using the Tightrope system to reconstruct the Lisfranc ligament for elastic fixation. METHODS: We retrospectively analyzed 11 cases with purely ligamentous Lisfranc injuries treated with the Tightrope system from 2016 to 2019, including 8 male and 3 female. X-ray was performed regularly after operation to measure the distance between the first and second metatarsal joint and the visual analogue scale (VAS) score was used to evaluate pain relief. American orthopedic foot & ankle society (AOFAS) and Maryland foot score were recorded at the last follow-up. RESULTS: The average follow-up time was 20.5 months (range, 17–24). There was statistically significant difference in the distance between the first and second metatarsal joint and VAS score at 3 months, 6 months, and the last follow-up when compared with preoperative values (P < 0.05).Mean of postoperative AOFAS mid-foot scale and Maryland foot score were 92.4 ± 4.3, 94.1 ± 3.5, respectively. The Tightrope system was not removed and the foot obtained better biomechanical stability. No complications occurred during the operation. CONCLUSION: Tightrope system in the treatment of purely ligamentous Lisfranc injuries can stabilize the tarsometatarsal joint and achieve satisfactory effect. |
format | Online Article Text |
id | pubmed-8573989 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-85739892021-11-08 Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries Yongfei, Fan Chaoyu, Liu Wenqiang, Xu Xiulin, Ma Jian, Xu Wei, Wang BMC Surg Research BACKGROUND: Purely ligamentous Lisfranc injuries are mainly caused by low energy damage and often require surgical treatment. There are several operative techniques for rigid fixation to solve this problem clinically. This study evaluated the effect of using the Tightrope system to reconstruct the Lisfranc ligament for elastic fixation. METHODS: We retrospectively analyzed 11 cases with purely ligamentous Lisfranc injuries treated with the Tightrope system from 2016 to 2019, including 8 male and 3 female. X-ray was performed regularly after operation to measure the distance between the first and second metatarsal joint and the visual analogue scale (VAS) score was used to evaluate pain relief. American orthopedic foot & ankle society (AOFAS) and Maryland foot score were recorded at the last follow-up. RESULTS: The average follow-up time was 20.5 months (range, 17–24). There was statistically significant difference in the distance between the first and second metatarsal joint and VAS score at 3 months, 6 months, and the last follow-up when compared with preoperative values (P < 0.05).Mean of postoperative AOFAS mid-foot scale and Maryland foot score were 92.4 ± 4.3, 94.1 ± 3.5, respectively. The Tightrope system was not removed and the foot obtained better biomechanical stability. No complications occurred during the operation. CONCLUSION: Tightrope system in the treatment of purely ligamentous Lisfranc injuries can stabilize the tarsometatarsal joint and achieve satisfactory effect. BioMed Central 2021-11-07 /pmc/articles/PMC8573989/ /pubmed/34743702 http://dx.doi.org/10.1186/s12893-021-01394-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Yongfei, Fan Chaoyu, Liu Wenqiang, Xu Xiulin, Ma Jian, Xu Wei, Wang Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries |
title | Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries |
title_full | Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries |
title_fullStr | Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries |
title_full_unstemmed | Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries |
title_short | Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries |
title_sort | clinical outcomes of tightrope system in the treatment of purely ligamentous lisfranc injuries |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573989/ https://www.ncbi.nlm.nih.gov/pubmed/34743702 http://dx.doi.org/10.1186/s12893-021-01394-x |
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