SUMMARY
Background. Isolated Lisfranc ligament and some other combined ligament injuries to the Lisfranc Joint Complex are frequently found in clinical practice, and surgical treatment is commonly indicated. In order to achieve favorable outcomes following the repair of Lisfranc injuries, a successful anatomical reduction is required. Various fixation methods currently exist such as screw fixation, dorsal bridge plate fixation, K-wire stabilization, primary fusion, neoligamentplasty and TightRope stabilization. Each technique has its own advantages and disadvantages. any rigid and long immobilization of a ligament is detrimental to healing and compromises its mechanical properties. Ideally, the best form to treat an articular joint involvement is to use a long-lasting implant, with flexibility that
could potentially provide the proper stability allowing enough motion to achieve a more physiologic ligament healing. We describe a novel technique to reconstruct the Lisfranc injuries with pure ligament disruption using a synthetic neoligamentplasty with FiberTape- InternalBrace™ (Arthrex, Naples, FL) passed through anatomic bone tunnels that mimic the original isometric position of the ligaments.
Methods. We described the technique and evaluated 7 consecutive patients with midfoot ligament injury and a combination of tarsometatarsal instability and/or intercuneiform instability.
Results. We found no postoperative complications, stiffness, or loss of correction.
Conclusions. The innovative surgical technique present in this article is effective and eliminates the need for subsequent implant removal for lisfranc joint injuries. It could also provide a more physiologic arch deformation to interact with the environment in a more
effective way, protecting the surrounding joints from excessive loads.
Dynamic Lisfranc Joint Repair Concept: Surgical Technique for a Synthetic Neoligamentplasty
C. Nery, E. Giza, E. Wagner, M. A. Percope de Andrade, T. Soares Baumfeld, M. Pires Prado, D. Baumfeld
Original Article, 562-570
Keywords: lisfranc joint, neoligamentplasty, subtle Lisfranc,
Table of Content: Vol.9 (No.4) 2019 October/December
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The Effect of Different Suture Materials on Achilles Tendon Metabolism: A Preliminary in vivo Study of mRNA levels in Rabbits
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Electrospun Scaffolds in Tendons Regeneration: a review
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Histological and Biomechanical Evaluation of Biologic Adjuvants in a Murine Tendon-Bone Healing Model
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Return to Sport After Patellar Tendon Rupture: a Systematic Review
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Quantifying the Dimensions of Achilles Tendon Insertional Area Using Ultrasound Imaging A Validity and Reliability Study
N.H. Alghamdi, M. Killian, B. Aitha, R.T. Pohlig, K. Grävare SilbernagelOriginal Article, 544-551 -
Combined ESWT & RSW Therapy for Achilles Tendinopathy: A Prospective Study
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Dynamic Lisfranc Joint Repair Concept: Surgical Technique for a Synthetic Neoligamentplasty
C. Nery, E. Giza, E. Wagner, M. A. Percope de Andrade, T. Soares Baumfeld, M. Pires Prado, D. BaumfeldOriginal Article, 562-570 -
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Short-Term Efficacy and Safety of Betamethasone Valerate 2.25 mg Medicated Plaster in Patients with Chronic Lateral Epicondylitis: Results of a Randomised, Double Blind, Placebo-controlled Study
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A diagnostic Approach to Deltoid Muscle Masses
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E. Barbieri, I. Capparucci, F. Mannello, G. Annibalini, S. Contarelli, L. Vallorani, A. M. Gioacchini, D. Ligi, R. Maniscalco, M. Gervasi, T. Tran Dang Xuan, C. Bartolucci, V. Stocchi, P. SestiliOriginal Article, 606-614 -
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R. Choopani, F. Ghaderi, Z. Salahzadeh, H. Adigozali, H.N. Sivaki, E.M. Majd, M.R. Azghani, A. Soltani, M.A. JafarabadiOriginal Article, 615-626 -
Matside Medical Aid during Judo Competition in Japan
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