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Titre : | Lisfranc Arthrodesis in Posttraumatic Chronic Injuries (2022) |
Auteurs : | Stefan Rammelt ; Pablo Andrés Cárdenas Murillo |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 27, n° 4, Décembre 2022) |
Article en page(s) : | p. 745-767 |
Note générale : | https://doi.org/10.1016/j.fcl.2022.07.002 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthroplastie ; Correction naturelle ; Deformation ; Metatarse ; Pied |
Résumé : |
Subtle injuries and fracture-dislocations at the tarsometatarsal joint if not recognized or treated appropriately result in painful malunions ranging from isolated instability to complex three-dimensional deformities with rapid development of posttraumatic arthritis.
Deformity correction and fusion of the symptomatic joints leads to significant pain reduction and functional improvement provided that realignment of the anatomic axes is achieved. Arthrodesis should be limited to the first to third tarsometatarsal joints whenever possible to preserve flexibility to the lateral foot column. For symptomatic arthritis of the fourth to fifth tarsometatarsal joints interposition arthroplasty is a viable option. For complex deformities and instability at the midfoot, corrective fusion is extended to the intercuneiform and naviculocuneiform joints depending on the individual pathology. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751522000754 |