Primary open reduction and internal fixation with headless compression screws in the treatment of Chinese patients with acute Lisfranc joint injuries

• DOI: 10.1097/ta.0b013e318246eabc
• Publication Date: 2015-10-14T16:28:53Z
• Authors: Hui Zhang; Li Min; Guang-Lin Wang; Qiang Huang; Kai Liu; Lei Liu; Chongqi Tu; Fu-Xing Pei
• Keywords: Tarsometatarsal joints

BACKGROUND: Although primary open anatomic reduction and stable internal fixation has become a standard treatment principle of Lisfranc joint injuries, there are still some debates existed among surgeons as to the most appropriate this injury. The aim cohort study was analyze early (mean, 3.2 years) clinical radiographic outcomes one surgeon's experience associated with standardized protocol using headless compression screws (HCS) in consecutive series Chinese patients injuries. METHODS: This is retrospectively evaluate injuries that underwent HCS. RESULTS: There were 29 (30 feet) included our study. average score American Orthopaedic Foot Ankle Society Midfoot Visual Analog Pain Scale 80.6 2.4 points at final follow-up point, respectively. Anatomic initial obtained 26 (27 feet, 90%). At last only case had loss reduction. Posttraumatic osteoarthritis observed 10 (10 33%), 2 them (2 7%) scheduled for arthrodesis because persistent pain. CONCLUSION: Our results have shown an unstable tarsometatarsal AO 3.0 mm HCS can provide firm stability, precise joint, satisfactory short-term without any screw breakage, although posttraumatic midfoot significant challenge orthopedic surgeons.