Evidence map›Paper›PMID 42406178›Full record

SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026

Medial tarsometatarsal injuries lead to overall post-traumatic osteoarthritis in 1 in 3 patients: a systematic review and meta-analysis.

Sora Tonsuthanluck, Jari Dahmen, Gino M M J Kerkhoffs, Sebastian F Baumbach, Henry Ricardo Handoyo, Piyawat Kantagowit, Prasit Rajbhandari, Chayanin Angthong

Abstract readSystematic ReviewMeta-Analysis
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In one paragraph

Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sora TonsuthanluckFoot and Ankle surgery unit, Department of Orthopedic Surgery, College of Medicine, Rajavithi Hospital, Rangsit University, Bangkok, Thailand.
Jari DahmenDepartment of Orthopaedic Surgery and Sports Medicine, Location AMC, University of Amsterdam, Amsterdam University Medical Centers, Meibergdreef, Amsterdam, Netherlands.
Gino M M J KerkhoffsDepartment of Orthopaedic Surgery and Sports Medicine, Location AMC, University of Amsterdam, Amsterdam University Medical Centers, Meibergdreef, Amsterdam, Netherlands.
Sebastian F BaumbachOrthoPlus Munich, Alte Börse, Munich, Germany.
Henry Ricardo HandoyoFaculty of Medicine, Widya Mandala Surabaya Catholic University, Surabaya, Indonesia.
Piyawat KantagowitDepartment of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Prasit RajbhandariDepartment of Orthopaedic Surgery, Raja Isteri Pengiran Anak Saleha Hospital, Bandar Seri Begawan, Brunei Darussalam.
Chayanin AngthongCollege of Biomedical Engineering, Rangsit University, Pathum Thani, Thailand. chayanin.a@rsu.ac.th.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMedial tarsometatarsal (TMT) injuries have often occurred. One of complications is post-traumatic osteoarthritis (PTOA). The Actual incidence of PTOA is still unknown and risk factors is no definite consensus. This systematic review and meta-analysis aim to examine the actual incidence of PTOA and determine the actual factors related following medial Lisfranc injuries.

methodThe systematic review were performed according to PRISMA guidelines. The search terms were searcheed in PubMed and Google Scholar. From an initial search,1532 studies were found ,14 eligible studies were selected for further review. The meta-analysis results were extracted and reported by the Forest plots model. Levels of heterogeneity were also evaluated from the eligible studies.

resultA total of 686 patients was included. The primary outcome is actual incidences of PTOA following medial TMT injuries was 33%. The secondary outcomes were the actual factors affecting higher severity of PTOA. This result revealed non-anatomical reduction could be a risk factor of PTA significantly. The percentage of Myerson classification ≥ C was identified as a source of prevalence of PTOA in the meta-regression method.

conclusionPTOA following the medial TMT injuries occurred about 33% with mean follow-up time about 60 months. Non-anatomical reduction was identified as a significant single factor that increased overall PTOA rate. Higher severity of injury (Myerson classification type C or higher severity type) and non-anatomical reduction increased the rate of severe PTOA. Anatomical reduction is recommended in the patients with medial TMT injury.

Indexed as

Foot InjuriesFractures, BoneMetatarsal BonesOsteoarthritisTarsal BonesHumansIncidenceRisk FactorsLisfranc injuryMidfoot dislocationMidfoot fracturePost-traumatic osteoarthritisTarsometatarsal

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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.