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Related Experiment Video

Updated: May 9, 2025

A Mini-Invasive Internal Fixation Technique for Studying Immobilization-Induced Knee Flexion Contracture in Rats
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Flexible Fixation Technique for Subtle Lisfranc Injuries.

Ethan R Harlow1, Ajit M Vakharia1, Mikhail Alexeev1

  • 1Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Video Journal of Sports Medicine
|May 1, 2025
PubMed
Summary

Subtle Lisfranc injuries, primarily ligamentous, can be effectively treated with flexible fixation. This technique restores stability and function, preventing long-term pain and arthritis.

Keywords:
Lisfrancathleteflexible fixationsubtle Lisfranc injurytechnique

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Foot and ankle surgery

Background:

  • Subtle Lisfranc injuries involve damage to the Lisfranc ligament and associated ligaments.
  • Instability in this complex often requires surgical intervention to prevent chronic pain and osteoarthritis.
  • Flexible fixation offers an alternative to traditional methods like screws and plates.

Purpose of the Study:

  • To present a case of a subtle Lisfranc injury in a young athlete.
  • To describe the surgical technique using a suture anchor and button construct.
  • To review the benefits of flexible fixation for Lisfranc injuries.

Main Methods:

  • A 16-year-old basketball player with a subtle Lisfranc injury was treated surgically.
  • The technique involved a dynamic examination under anesthesia, reduction, and fixation with a suture anchor and button.
  • Fluoroscopic guidance was used throughout the procedure.

Main Results:

  • Biomechanical studies indicate flexible fixation provides comparable stability to screws.
  • Clinical outcomes show excellent functional scores with minimal complications at 1-3 years post-surgery.
  • The described case utilized flexible fixation to restore stability.

Conclusions:

  • Flexible fixation techniques provide distinct advantages for treating subtle Lisfranc injuries.
  • This approach can lead to excellent functional outcomes and mitigate complications.
  • Proper evaluation and surgical technique are crucial for successful treatment.