Publication:
Pedobarographic, Clinic, and Radiologic Evaluation after Surgically Treated Lisfranc Injury

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dc.contributor.authorPOLAT, MİNE GÜLDEN
dc.contributor.authorsEceviz, Engin; Cevik, Huseyin Bilgehan; Ozturk, Orhan; Ozen, Tugce; Colak, Tugba Kuru; Colak, Ilker; Polat, Mine Gulden
dc.date.accessioned2022-03-12T22:43:31Z
dc.date.available2022-03-12T22:43:31Z
dc.date.issued2021
dc.description.abstractIntroduction Lisfranc injuries are rare, often missed, and may cause permanent structural deterioration of tarsometatarsal joint, despite optimal management. Consequently, a Lisfranc injury may lead to disruption of the biomechanics of the normal foot during walking and may alter the plantar pressure distribution, which is essential for proper gait mechanics. Therefore, the main purpose of the study was to specify the dynamic plantar pressure, radiographic and clinical features, after surgically managed Lisfranc injuries. Methods This study was carried out over a period of 10 years and included 62 patients who were surgically treated for Lisfranc injury, with mean 57-month follow-up. Radiological (intermetatarsal, Kite's, first metatarsophalangeal, Meary's, Hibbs' and calcaneal pitch angles, and medial cuneiform-fifth metatarsal distance), pedobarographical, and clinical results with the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score assessments for both feet were assessed. Results In the radiological assessment, the mean first intermetatarsal (p = 0.006) and Meary's angle (p = 0.000) were decreased on the injured feet compared to the uninjured feet on the anteroposterior and lateral radiographs. In the pedobarographic assessment, the injured feet midfoot contact time increased (p = 0.03), and maximum force (p = 0.001), total peak pressure (p = 0.008), and contact area (p = 0.017) decreased, compared to the uninjured feet. The mean AOFAS score was 75/100 at the final follow-up visit. There was seen to be reduced both contact surface area and time of the midfoot. Conclusion Despite surgical management of Lisfranc injuries, the injured foot does not regain functional, radiological, or pedobarographical levels as compared to the uninjured foot for >= 57 months.
dc.identifier.doi10.1080/08941939.2020.1790700
dc.identifier.eissn1521-0553
dc.identifier.issn0894-1939
dc.identifier.pubmed32654544
dc.identifier.urihttps://hdl.handle.net/11424/236331
dc.identifier.wosWOS:000547729100001
dc.language.isoeng
dc.publisherTAYLOR & FRANCIS INC
dc.relation.ispartofJOURNAL OF INVESTIGATIVE SURGERY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectLisfranc
dc.subjectfracture
dc.subjectinjury
dc.subjectpedobarography
dc.subjectfoot
dc.subjectAOFAS
dc.subjectINTERNAL-FIXATION
dc.subjectOPEN REDUCTION
dc.subjectPRIMARY ARTHRODESIS
dc.subjectJOINT INJURIES
dc.subjectANKLE
dc.subjectFOOT
dc.titlePedobarographic, Clinic, and Radiologic Evaluation after Surgically Treated Lisfranc Injury
dc.typearticle
dspace.entity.typePublication
local.avesis.id6bfcda56-512e-462d-9d04-971bff3e3e90
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages7
local.journal.quartileQ2
oaire.citation.endPage1197
oaire.citation.issue11
oaire.citation.startPage1191
oaire.citation.titleJOURNAL OF INVESTIGATIVE SURGERY
oaire.citation.volume34
relation.isAuthorOfPublication5c413968-413a-457f-b61d-526765206c55
relation.isAuthorOfPublication.latestForDiscovery5c413968-413a-457f-b61d-526765206c55

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