Surgical Trends in the Treatment of Lisfranc Injuries Using the American Board of Orthopaedic Surgery (ABOS) Certification Examination Database

Foot & Ankle Specialist
Avais Raja, Fernando Pena

Abstract

Background: Lisfranc joint complex injury may be managed surgically by either an open reduction internal fixation (ORIF) or primary arthrodesis (PA). Published literature advocates PA for purely ligamentous injuries, but many surgeons in actuality refrain from performing PA. The purpose of the study is to assess surgeon practices and behavior in managing Lisfranc injuries due to the influence of peer reviewed literature with the help of the American Board of Orthopaedic Surgery (ABOS) database. Methods: Data were requested from the ABOS database of cases on Lisfranc joint injury requiring either an ORIF or PA from examination year 2004 to 2017 for both part II and maintenance of certification (MOC) examinees. Cases with ICD-9 code 838.03 only were considered as primarily ligamentous and all fracture codes classified under 825 with 838.03 were considered as fracture dislocation. The number of PA and ORIF were recorded for both types of examinees and specific type of Lisfranc joint injury (primarily ligamentous and fracture dislocation). Results: A total of 2010 cases of Lisfranc joint injuries managed surgically by 1230 board-eligible orthopaedic surgeons. Open fractures (93) and non-/malunion fractures were excluded. A total of...Continue Reading

References

Sep 5, 1998·Clinical Orthopaedics and Related Research·B M Buzzard, P J Briggs
Nov 30, 2000·The Journal of Bone and Joint Surgery. American Volume·R S KuoB J Sangeorzan
Oct 26, 2002·Foot & Ankle International·Thomas MulierPaul Broos
Nov 1, 1951·The Journal of Bone and Joint Surgery. British Volume·W GISSANE
Dec 25, 2017·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Rachel H AlbrightAdam E Fleischer

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Citations

Jun 21, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Moein Pourmorteza, Amir Reza Vosoughi
Jan 26, 2021·Foot and Ankle Clinics·Nacime Salomão Barbachan Mansur, Eli Schmidt
Jul 18, 2021·Journal of ISAKOS·Carlijn S Ter Laak BolkGino M M J Kerkhoffs

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