The
Purpose. Operative treatment of
Introduction.
Background. Anatomical reduction and stable internal fixation has been recommended as the standard treatment for fracture dislocations of the tarsometatarsal (Lisfranc) joint. Many methods of fixation have been utilised including K-wires and screw fixation, the latter being the preferred method as it provides a stronger more stable construct. However, the screws require removal after the injury has healed. We present a different method and technique of stabilisation utilising memory staples. The technique is extra-articular and avoids breaching the TMTJ joint surface, is simple and avoids the necessity of removal of hardware. Methods. 11 patients with isolated ligamentous
Tarsometatarsal arthritis must be evaluated in conjunction with naviculocuneiform joint arthritis, as the two generally coexist. Primary osteoarthritis or systemic arthritis generally leads to uncomplicated non-deformity correction through arthrodesis. Challenges in correction become more pronounced following
Objective. To assess the usefulness of radiographs alone to evaluate acute midfoot/forefoot injuries. We believe that foot injuries are often under-estimated and that CT scans should be routinely obtained to aid in their management and avoid additional morbidity for patients. Materials & Methods. In 26 months, 255 patients had foot injuries requiring X-Rays. Of these patients, 94 (37%) had primary radiographs indicating midfoot or forefoot fractures, and 28 had subsequent CT scans. Radiographs were retrospectively re-evaluated with respect to fracture location, type, mechanism of injury and then compared with CT results. Results. Of 255 patients, 213 (84%) had one or more fractures in their foot. A total of 397 fractures were seen with 105 patients having Os Calcis (41%) fractures. 94 patients (37%) had midfoot/forefoot fractures which included the 28 patients with subsequent CT scans. 56 patients (22%) had no injury. Of those patients with midfoot/forefoot injuries, 61 fractures were seen on plain radiographs and an additional 74 were identified on CT scanning. The major mechanism of injury in these patients was Road Traffic Accident (26 patients [28%]). Commonly missed individual fractures on plain radiography were Metatarsal (29), Cuboid (12) and Cuneiform fractures (11). Nine of the 29 (31%) metatarsal bone fractures involved missed fracture-dislocations of the