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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Related Experiment Video

Updated: May 21, 2025

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Lisfranc Fixation Utilizing Dorsomedial Plating Technique.

James L Iandoli1, Daniel T DeGenova1, Anthony J Perugini1

  • 1Orthopedic Surgery Residency, OhioHealth, Columbus, Ohio.

Foot & Ankle Specialist
|March 18, 2025
PubMed
Summary

This study presents a joint-sparing plating technique for Lisfranc injuries, simplifying surgical intervention. The method shows good patient outcomes with a low non-union rate, offering an effective treatment option.

Keywords:
LisfrancORIFTMT platingdorsomedial approachhigh energy traumamidfoot injury

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Biomechanical Engineering

Background:

  • Lisfranc injuries present complex treatment challenges.
  • Surgical options include open reduction and internal fixation (ORIF) versus arthrodesis.
  • Both ORIF and arthrodesis can yield similar outcomes with proper technique.

Purpose of the Study:

  • To simplify operative intervention for Lisfranc injuries.
  • To present a reliable, biomechanically stable plating technique.
  • To achieve good patient outcomes with a joint-sparing approach.

Main Methods:

  • A dorsomedial approach for surgical intervention.
  • Application of a specific plating technique for rigid fixation and anatomic reduction.
  • Evaluation of a cohort of 31 patients with a minimum 12-month follow-up.

Main Results:

  • Mean operative room time was 81 minutes.
  • Median time to union was 198 days, with one non-union.
  • Complications included infections, hardware issues, and elective hardware removal in 15 patients.

Conclusions:

  • The described plating technique offers a simplified, biomechanically stable approach for Lisfranc injuries.
  • This joint-sparing method demonstrates good patient outcomes.
  • The technique provides a reliable alternative for managing complex Lisfranc injuries.