Evidence map›Paper›PMID 38798115›Full record

ArticleFoot & ankle international2024

The Use of Knotless Suture Tape Construct vs Screw Fixation for Lisfranc Injuries: A Cadaveric Biomechanical Study.

Cesar Cardenas, Natalia D McIver, Jessica Nelson, Aamir Ahmad, Tyler Chavez, Jessica Gross, Christina Salas, Katherine Gavin

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Foot & ankle international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

8 authors.

Cesar CardenasThe Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM, USA.ORCID 0000-0003-2867-0850
Natalia D McIverThe Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM, USA.
Jessica NelsonUniversity of New Mexico School of Medicine, Albuquerque, NM, USA.ORCID 0000-0002-5625-2544
Aamir AhmadThe Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM, USA.
Tyler ChavezThe Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM, USA.
Jessica GrossThe Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM, USA.
Christina SalasThe Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM, USA.
Katherine GavinThe Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, NM, USA.ORCID 0009-0004-6799-2750

Funding

UNM HSC Clinical and Translational Science CenterUL1TR001449 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CAMPEN, MATTHEW J, PANDHI, NANCY · 2015 to 2024
$36.9M
NCATS NIH HHS UL1 TR001449
6 · The paper itself

Abstract

backgroundLisfranc injuries are often treated with open reduction and internal fixation using rigid fixation techniques. The use of flexible fixation to stabilize the Lisfranc joint is a newer technique. The purpose of this cadaveric study is to compare the amount of diastasis at the Lisfranc interval under diminished physiologic loads when treated with a knotless suture tape construct and a solid screw.

methodsTen cadavers (20 feet) had native motion at the intact Lisfranc interval assessed at multiple increasing loads (69, 138, and 207 N). The Lisfranc ligamentous complex was then disrupted, and testing repeated to evaluate the amount of diastasis. Randomization was performed to determine the type of fixation for each cadaver: solid screw or knotless suture tape construct. Once fixation was completed, specimens were cyclically loaded for 10 000 cycles at loads, and diastasis was quantified after each load cycle to compare the interventions. Diastasis was measured using motion tracking cameras and retroreflective marker sets. A non-inferiority statistical analysis was performed.

resultsDiastasis mean values were confirmed to be >2 mm for all load bearing conditions in the injury model. Posttreatment, diastasis was significantly reduced when compared to the sectioned conditions (

conclusionUnder the loads tested, there is no significant difference in diastasis at the Lisfranc interval when treating ligamentous Lisfranc injuries with a knotless suture tape construct or solid screws. Both reduced diastasis from the injured state and were not different from the intact state. CLINICAL RELEVANCE: In this cadaveric model with ligamentous Lisfranc injury, diastasis of a knotless suture tape construct is compared to solid screw fixation as tested.

Indexed as

Bone ScrewsCadaverFracture Fixation, InternalBiomechanical PhenomenaHumansLigaments, ArticularMaleSurgical TapeSuturesSuture Techniquesflexible fixationknotless suture tape constructLisfranc injury

Identifiers

PMID38798115
PMCPMC11382486

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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.