Evidence map›Paper›PMID 40549015›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Outcomes and complications after open reduction and internal fixation of Lisfranc injuries: a retrospective cohort study.

Ioannis Stavrakakis, Ioannis Sperelakis, Konstantinos Zampetakis, Alexandros Tsioupros, Alkison Kotsis, Alexandros Zikopoulos, Orestis Konstantas, Andreas F Mavrogenis, Theodoros H Tosounidis

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. 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. Review
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

9 authors.

Ioannis StavrakakisDepartment of Orthopaedic Surgery, Venizeleio and Pananio General Hospital, Heraklion, Crete, Greece.
Ioannis SperelakisDepartment of Orthopaedic Surgery, Medical School, University of Crete, Heraklion, Crete, Greece.
Konstantinos ZampetakisDepartment of Orthopaedic Surgery, Venizeleio and Pananio General Hospital, Heraklion, Crete, Greece.
Alexandros TsiouprosDepartment of Orthopaedic Surgery, Venizeleio and Pananio General Hospital, Heraklion, Crete, Greece.
Alkison KotsisDepartment of Orthopaedic Surgery, Medical School, University of Crete, Heraklion, Crete, Greece.
Alexandros ZikopoulosFirst Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Orestis KonstantasFirst Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Andreas F MavrogenisFirst Department of Orthopaedics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Theodoros H TosounidisDepartment of Orthopaedic Surgery, Medical School, University of Crete, Heraklion, Crete, Greece. ttosounidis@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the clinical and radiographic outcomes of Lisfranc injuries treated with open reduction and internal fixation.

methodsA retrospective cohort study reporting on the operative management of Lisfranc injuries was conducted across three institutions. Data from adult patients who sustained a tarsometatarsal joint fracture dislocation and were treated with open reduction and internal fixation from 1 January 2020 to 31 December 2023 were collected. The mean AOFAS midfoot score, the incidence of post-traumatic arthritis (PTA) and the complications were reported. The AOFAS score of anatomically reduced TMT joints was compared to the AOFAS score of the non-anatomically reduced TMT joints. The correlation of PTA to the quality of reduction was also evaluated.

resultsThirty-six (36) consecutive adult patients were retrieved from the digital patient registry. Thirty-two (32) patients completed the six-month follow-up (FU) and were included in the study. The mean AOFAS score of the entire cohort was 89,44 (range 70-100). The anatomically reduced fractures demonstrated a mean AOFAS score of 91,41 (95% CI 88,14-94,68), whereas the mean AOFAS score of the non-anatomically reduced Lisfranc joints was 85,10 (95% CI 77,38-92,82). This difference was statistically significant (p-value: 0,031). Thirteen (13) of 32 patients (40,6%) developed PTA. PTA occurrence was strongly correlated to the quality of reduction (OR: 4,33, 95% CI 1,60-11,69, p-value < 0,001). Four patients developed complex regional pain syndrome (CRPS), and broken implants were identified in four patients. One patient developed metatarsalgia, one deep infection and another one a painless flatfoot. High-energy injuries, PTA and obesity were the most important factors negatively affecting the outcome.

conclusionA better outcome and a lower risk of PTA were correlated with anatomically reduced Lisfranc fracture dislocations. The most commonly documented complications were PTA, implant breakage and CRPS.

Indexed as

Fracture DislocationFracture Fixation, InternalFractures, BoneMetatarsal BonesOpen Fracture ReductionPostoperative ComplicationsTarsal JointsAdultAgedArthritisFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeComplications Lisfranc injuryFoot injuryLisfranc injuryOsteosynthesis Lisfranc injuryOutcomes Lisfranc injuryTarsometatarsal injury

Identifiers

PMID40549015

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.