EPIDEMIOLOGICAL STUDY ON LISFRANC INJURIES

• Published in: Acta ortopedica brasileira Vol. 25; no. 1; pp. 44 - 47
• Main Authors: Sobrado, Marcel Faraco, Saito, Guilherme Honda, Sakaki, Marcos Hideyo, Pontin, Pedro Augusto, Santos, Alexandre Leme Godoy Dos, Fernandes, Túlio Diniz
• Format: Journal Article
• Language: English
• Published: Brazil Departamento de Ortopedia e Traumatologia (DOT/FMUSP) 01-01-2017; ATHA EDITORA; Sociedade Brasileira de Ortopedia e Traumatologia
• Subjects: Dislocations/surgery; Foot injuries/surgery; Metatarsal bones/injuries; Original; ORTHOPEDICS; Tarsal joints/injury; Dislocations/surgery; Tarsal joints/injury; Metatarsal bones/injuries; Foot injuries/surgery; Traumatismos do pé/cirurgia; Luxações/cirurgia; Ossos do metatarso/lesões; Articulações tarsianas/lesões
• ISSN: 1413-7852; 1809-4406; 1413-7852; 1809-4406
• DOI: 10.1590/1413-785220172501168995

To analyze the characteristics of patients with Lisfranc injuries and their associated fractures
This is a retrospective analysis on 42 patients with Lisfranc injuries hospitalized at Instituto de Ortopedia e Traumatologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, between 2006 and 2010. Parameters on patient profile, risk factors, fracture characteristics, data on treatment and acute complications were analyzed
Analysis of 42 cases showed that in our sample, men were more affected than women, with a ratio of 4.25:1. The most frequent trauma mechanism was car accident, followed by motorcycle accident. The most frequent type of injury was isolated lesion type B of Quenu and Kuss classification, representing 50% of cases. The most common fracture on the sample was the second metatarsal bone, with 16 cases, followed by cuboid bone fracture. Among the 42 cases, 17% had exposed fractures and 33 patients presented other associated fractures. The mean time elapsed between the trauma and definitive treatment was 6.7 days, while the mean length of hospital stay was 13.8 days. Six patients presented acute postoperative complications
Lisfranc injuries are more common in men undergoing automobile trauma. The prevalence of associated fractures is a frequent finding and the hospital stay may be longstanding.