Evidence map›Paper›PMID 29629578›Full record

ArticleThe bone & joint journal2018

Dorsal bridge plating or transarticular screws for Lisfranc fracture dislocations: a retrospective study comparing functional and radiological outcomes.

N Kirzner, P Zotov, D Goldbloom, H Curry, H Bedi

Open access · hybridAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The bone & joint journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. [Lisfranc injuries].Unfallchirurgie (Heidelberg, Germany) · 2024
    Review
  7. Article
  8. Review
  9. Comparison of two surgical techniques for Lisfranc injuries; closed reduction and fixation versus primary partial arthrodesis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  10. Article
  11. Lisfranc complex injuries management and treatment: current knowledge.International journal of physiology, pathophysiology and pharmacology · 2022
    Review
  12. Article
  13. [Indirect fixation of the third tarsometatarsal joint for high-energy Lisfranc injury].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    Article
  14. Updates on Lisfranc Complex Injuries.Foot & ankle orthopaedics · 2021
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

N KirznerAlfred Hospital, 55 Commercial Road, Melbourne, Victoria 3004, OrthoSports Victoria, Level 5, 89 Bridge Rd, Richmond, Victoria 312, Australia.
P ZotovAlfred Hospital, 55 Commercial Road, Melbourne, Victoria 3004, OrthoSports Victoria, Level 5, 89 Bridge Rd, Richmond, Victoria 312, Australia.
D GoldbloomAlfred Hospital, 55 Commercial Road, Melbourne, Victoria 3004, OrthoSports Victoria, Level 5, 89 Bridge Rd, Richmond, Victoria 312, Australia.
H CurryAlfred Hospital, 55 Commercial Road, Melbourne, Victoria 3004, OrthoSports Victoria, Level 5, 89 Bridge Rd, Richmond, Victoria 312, Australia.
H BediAlfred Hospital, 55 Commercial Road, Melbourne, Victoria 3004, OrthoSports Victoria, Level 5, 89 Bridge Rd, Richmond, Victoria 312, Australia.
The Alfred Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: The aim of this retrospective study was to compare the functional and radiological outcomes of bridge plating, screw fixation, and a combination of both methods for the treatment of Lisfranc fracture dislocations. Patients and Methods: A total of 108 patients were treated for a Lisfranc fracture dislocation over a period of nine years. Of these, 38 underwent transarticular screw fixation, 45 dorsal bridge plating, and 25 a combination technique. Injuries were assessed preoperatively according to the Myerson classification system. The outcome measures included the American Orthopaedic Foot and Ankle Society (AOFAS) score, the validated Manchester Oxford Foot Questionnaire (MOXFQ) functional tool, and the radiological Wilppula classification of anatomical reduction. Results: Significantly better functional outcomes were seen in the bridge plate group. These patients had a mean AOFAS score of 82.5 points, compared with 71.0 for the screw group and 63.3 for the combination group (p < 0.001). Similarly, the mean Manchester Oxford Foot Questionnaire score was 25.6 points in the bridge plate group, 38.1 in the screw group, and 45.5 in the combination group (p < 0.001). Functional outcome was dependent on the quality of reduction (p < 0.001). A trend was noted which indicated that plate fixation is associated with a better anatomical reduction (p = 0.06). Myerson types A and C2 significantly predicted a poorer functional outcome, suggesting that total incongruity in either a homolateral or divergent pattern leads to worse outcomes. The greater the number of columns fixed the worse the outcome (p < 0.001). Conclusion: Patients treated with dorsal bridge plating have better functional and radiological outcomes than those treated with transarticular screws or a combination technique. Cite this article: Bone Joint J 2018;100-B:468-74.

Indexed as

Bone PlatesBone ScrewsAdultAgedFemaleFollow-Up StudiesFracture DislocationFracture Fixation, InternalHumansIntra-Articular FracturesMaleMetatarsal BonesMiddle AgedRadiographyRecovery of FunctionRetrospective StudiesDislocationDorsal bridgeFunctional outcomesLisfranc fractureRadiological outcomesTransarticular screws

Identifiers

PMID29629578
PMCPMC6503757
OpenAlexW2796634874

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.