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Orthopedic Trauma Directions 2011; 9(5): 17-24
DOI: 10.1055/s-0030-1267127
DOI: 10.1055/s-0030-1267127
Clinical topic
© Georg Thieme Verlag KG Stuttgart · New York
Lisfranc joint injury
Comparison of open reduction and internal fixation with primary arthrodesis (Update to 6/07 issue)Further Information
Publication History
Publication Date:
14 December 2011 (online)
Summary
Evidence from two randomized controlled trials suggests a marked increase in the need for reoperation in those receiving ORIF compared with arthrodesis, with a risk increase of approximately 300%. Anatomic reduction was achieved initially by either method, and no definitive conclusions can be made about a preference in terms of functional outcomes although they appear to be better for arthrodesis, or regarding pain.