ArticleFoot & ankle orthopaedics2022
A Systematic Review of Outcomes Following Lisfranc Injury Fixation: Removal vs Retention of Metalwork.
Article in Foot & ankle orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Removal of Metalwork After Lisfranc Fracture-Dislocation Internal Fixation: A Retrospective Study from a Major Trauma Centre with More Than 2 Years of Follow-Up.Indian journal of orthopaedics · 2025Article
- Outcomes in Open Reduction and Internal Fixation of Tarsometatarsal (Lisfranc) Injuries: A Contemporary Review of Fixation Constructs.Foot & ankle orthopaedics · 2025Review
- Outcomes and complications after open reduction and internal fixation of Lisfranc injuries: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Functional Outcome and Patient Satisfaction After Primary vs Secondary Arthrodesis for Lisfranc Injuries: Toward a Single-Surgery Approach.Foot & ankle international · 2025Article
- [Lisfranc injuries].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Use of Bio-integrative Screws for Fixation of Lisfranc Instability; Pros and Cons from Surgeons' Point of View in a Cadaver Study.The archives of bone and joint surgery · 2024Article
- A Systematic Review of Outcomes Following Lisfranc Injury Fixation: Removal vs Retention of Metalwork.Foot & ankle orthopaedics · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Following Lisfranc injury fixation, no consensus exists on whether to routinely remove metalwork. The aim of this study was to evaluate functional outcomes and complications in patients following routine removal of metalwork and in those with retained metalwork. Methods: A systematic review of literature (1999-2020) reporting results of metalwork removal vs retention following Lisfranc injury fixation, was undertaken. The primary outcome was functional outcomes at 1 year following index surgery. Secondary outcomes were rates of complications including unplanned removal of metalwork. Results: No studies directly comparing routine metalwork removal vs retention were found. A total of 28 studies reporting on 1069 patients were included. Of these, 10 studies (317 patients) reported on retention and 18 (752 patients) on routine removal of metalwork. The difference in the American Orthopaedic Foot & Ankle Society (AOFAS) score between removal and retention groups was 3.38 (95% CI 6.3-0.48), Conclusion: In conclusion, this systematic review found limited evidence comparing different strategies of metalwork management after Lisfranc injury fixation. A randomized controlled trial is necessary to elucidate if routine removal of metalwork confers any true benefit. Level of Evidence: Level IV, systematic review including case series.
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