Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries

Abstract 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 reconstru...

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Autores principales:	Fan Yongfei, Liu Chaoyu, Xu Wenqiang, Ma Xiulin, Xu Jian, Wang Wei
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Tightrope system Lisfranc ligament Flexible fixation Mid-foot function Surgery RD1-811
Acceso en línea:	https://doaj.org/article/0dc33e546f254211873b79f6fe36cdcf
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spelling	oai:doaj.org-article:0dc33e546f254211873b79f6fe36cdcf2021-11-14T12:09:27ZClinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries10.1186/s12893-021-01394-x1471-2482https://doaj.org/article/0dc33e546f254211873b79f6fe36cdcf2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12893-021-01394-xhttps://doaj.org/toc/1471-2482Abstract 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.Fan YongfeiLiu ChaoyuXu WenqiangMa XiulinXu JianWang WeiBMCarticleTightrope systemLisfranc ligamentFlexible fixationMid-foot functionSurgeryRD1-811ENBMC Surgery, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tightrope system Lisfranc ligament Flexible fixation Mid-foot function Surgery RD1-811
spellingShingle	Tightrope system Lisfranc ligament Flexible fixation Mid-foot function Surgery RD1-811 Fan Yongfei Liu Chaoyu Xu Wenqiang Ma Xiulin Xu Jian Wang Wei Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries
description	Abstract 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	article
author	Fan Yongfei Liu Chaoyu Xu Wenqiang Ma Xiulin Xu Jian Wang Wei
author_facet	Fan Yongfei Liu Chaoyu Xu Wenqiang Ma Xiulin Xu Jian Wang Wei
author_sort	Fan Yongfei
title	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_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_sort	clinical outcomes of tightrope system in the treatment of purely ligamentous lisfranc injuries
publisher	BMC
publishDate	2021
url	https://doaj.org/article/0dc33e546f254211873b79f6fe36cdcf
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Clinical outcomes of Tightrope system in the treatment of purely ligamentous Lisfranc injuries

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