Bioabsorbable implants in foot trauma surgery.

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Abstract

[Indexed for MEDLINE] 18. JBJS Rev. 2023 Apr 4;11(4). doi: 10.2106/JBJS.RVW.22.00239. eCollection 2023 Apr 1. Management of Lisfranc Injuries: A Critical Analysis Review. Carter TH(1), Heinz N(1), Duckworth AD(1)(2), White TO(1), Amin AK(1). Author information: (1)Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom. (2)Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, United Kingdom. »: There is a spectrum of midtarsal injuries, ranging from mild midfoot sprains to complex Lisfranc fracture-dislocations. »: Use of appropriate imaging can reduce patient morbidity, by reducing the number of missed diagnoses and, conversely, avoiding overtreatment. Weight-bearing radiographs are of great value when investigating the so-called subtle Lisfranc injury. »: Regardless of the operative strategy, anatomical reduction and stable fixation is a prerequisite for a satisfactory outcome in the management of displaced injuries. »: Fixation device removal is less frequently reported after primary arthrodesis compared with open reduction and internal fixation based on 6 published meta-analyses. However, the indications for further surgery are often unclear, and the evidence of the included studies is of typically low quality. Further high-quality prospective randomized trials with robust cost-effectiveness analyses are required in this area. »: We have proposed an investigation and treatment algorithm based on the current literature and clinical experience of our trauma center. Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated. DOI: 10.2106/JBJS.RVW.22.00239