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EPIDEMIOLOGICAL STUDY ON LISFRANC INJURIES
Marcel Faraco Sobrado1, Guilherme Honda Saito1, Marcos Hideyo Sakaki1
1. Universidade de São Paulo, Faculdade de Medicina, Hospital das Clinicas, Instituto de Ortopedia e Traumatologia, São Paulo, SP, Brazil.
Acta Ortopedica Brasileira
|June 24, 2017
Summary
Lisfranc injuries predominantly affect men involved in car accidents, often presenting with associated fractures. These injuries require lengthy hospital stays for treatment.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Sports Medicine
Background:
- Lisfranc injuries are complex foot trauma with potential for long-term disability.
- Understanding patient demographics and injury patterns is crucial for effective management.
Purpose of the Study:
- To characterize patients with Lisfranc injuries and their associated fractures.
- To identify common injury mechanisms and treatment outcomes.
Main Methods:
- Retrospective analysis of 42 patients with Lisfranc injuries.
- Data collected included patient profile, risk factors, fracture details, treatment, and complications.
Main Results:
- Men were more affected (4.25:1 ratio).
- Car accidents were the most common cause, followed by motorcycle accidents.
- Type B injury (Quenu and Kuss classification) was most frequent (50%).
- Associated fractures were common (33 patients); 17% had open fractures.
- Mean treatment delay was 6.7 days; mean hospital stay was 13.8 days.
- Six patients experienced acute postoperative complications.
Conclusions:
- Lisfranc injuries are more prevalent in men, often resulting from automobile trauma.
- Associated fractures are frequently observed.
- Treatment for Lisfranc injuries can involve extended hospital stays.
