Arthrodesis Versus Extra-articular Plate Fixation in Lisfranc Injury

Oslo University Hospital48 enrolled

Overview

The purpose of this study is to compare arthrodesis of the first TMT-joint to extraarticular bridge plate fixation of the same joint in acute Lisfranc injuries.

We want to compare arthrodesis of TMT 1 to temporary bridge plating of TMT 1 in acute Lisfranc injuries where at least tarsometatarsal joints 1-3 are involved. We preform arthrodesis of TMT 2 and 3 in both groups.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Lisfranc Injuries

Interventions

Temporary extraarticular plate fixationPROCEDURE

Arm 1: Primary arthrodesis TMT 1 Arm 2: Temporary extraarticular plate fixation TMT 1

Primary arthrodesisPROCEDURE

Primary arthrodesis

Primary arthrodesis TMT 2 and 3PROCEDURE

Primary arthrodesis TMT 2 and 3 when instability is present

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Lisfranc injuries with instability off TMT1, and fracture/instability of TMT 2 and 3. No major fracture in relation to TMT1. * Age 18-65 Exclusion Criteria: * Feet with other major foot/ankle injuries * Previous foot infection or foot pathology on affected side * Previous surgery to the TMT joints * Sequelae after previous foot injuries * Diabetes mellitus, neuropathy and peripheral vascular disease

Locations (1)

Oslo University Hospital

Oslo, Norway

Outcomes

Primary Outcomes

AOFAS Midfoot scale

Time frame: 2 years postoperative

Secondary Outcomes

SF-36

Time frame: 2 years postoperative

Data from ClinicalTrials.gov

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