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Lisfranc Arthrodesis in Posttraumatic Chronic Injuries
Stefan Rammelt1, Pablo Andrés Cárdenas Murillo1
1University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl-Gustav Carus at TU Dresden, Fetscherstrasse 74, Dresden 01307, Germany.
Foot and Ankle Clinics
|November 11, 2022
Summary
Chronic tarsometatarsal joint injuries cause pain and deformity. Surgical correction, including arthrodesis or arthroplasty, effectively reduces pain and improves function by restoring proper foot alignment.
Area of Science:
- Orthopedic surgery
- Foot and ankle reconstruction
- Podiatric medicine
Background:
- Chronic injuries to the tarsometatarsal joint can lead to significant pain, instability, and complex deformities.
- These conditions often result in the rapid development of posttraumatic arthritis, severely impacting function.
- Current treatments aim to alleviate pain and restore biomechanics.
Purpose of the Study:
- To review management strategies for chronic tarsometatarsal joint injuries.
- To outline optimal surgical approaches for different types of malunions and arthritis.
- To emphasize the importance of anatomical realignment for successful outcomes.
Main Methods:
- Review of surgical techniques for tarsometatarsal joint malunions and arthritis.
- Analysis of outcomes based on surgical approach (arthrodesis vs. arthroplasty).
- Consideration of joint-specific treatment based on location and complexity.
Main Results:
- Deformity correction and arthrodesis of symptomatic tarsometatarsal joints significantly reduce pain and improve function.
- Successful outcomes are contingent upon achieving accurate realignment of anatomical axes.
- Arthrodesis is recommended for the first to third tarsometatarsal joints.
- Interposition arthroplasty is preferred for arthritis in the fourth to fifth tarsometatarsal joints.
Conclusions:
- Tailored surgical strategies are crucial for managing chronic tarsometatarsal joint injuries.
- Accurate anatomical correction is paramount for pain relief and functional recovery.
- Specific joint involvement dictates the choice between arthrodesis and arthroplasty for optimal patient results.
