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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۱، صفحات ۵۱-۵۷
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عنوان انگلیسی Use of Bio-integrative Screws for Fixation of Lisfranc Instability - Results from a Cadaver Study
چکیده انگلیسی مقاله Background: Majority of Lisfranc fracture-dislocations require anatomic reduction and rigid internal fixation to prevent debilitating sequelae. Current methods include solid screws and flexible fixations which have been in use for many years. Biointegrative screw is a newer option that has not yet been thoroughly investigated for its effectiveness for Lisfranc injuries.Methods: The ligaments of the Lisfranc complex were resected in eight lower-leg cadaveric specimens. This was done by eight foot and ankle surgeons individually. Distraction forces were applied from opposite sides at the joint to replicate weight bearing conditions. Three methods of fixation – flexible fixation, metal, and biointegrative screws- were evaluated. The diastasis and area at the level of the ligament were measured at four conditions (replicated injury and each type of fixation) in neutral and distraction conditions using fluoroscopy images. The Wilcoxon test and Kruskal Wallis test were used for comparison. P value <0.05 was considered statistically significant.Results: The diastasis values for the transected ligament scenario were greater than those after all three fixation methods (without distraction) and for metal screw and biointegrative screws (with distraction) (p<0.001). The area at the level of the ligament showed higher values for transected ligament than the three fixatives (p<0.05).Conclusion: Metal screws, flexible fixation and bio-integrative screws showed comparable effectiveness intra-op in the successful correction of Lisfranc injury.
کلیدواژه‌های انگلیسی مقاله Biointegrative implants, Biomaterials, midfoot injuries
نویسندگان مقاله | Vasundhara Mathur
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA


| David Osei-Hwedieh
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA


| Sayyed-Hadi Sayyed-Hosseinian
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA


| Lorena Bejarano-Pineda
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA


| Philip Kaiser
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA


| Fernando Raduan
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA


| John Kwon
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA


| Soheil Ashkani-Esfahani
1 Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA 2 FARIL-SORG Collaborative, Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA


| Gregory Waryasz
Foot & Ankle Research and Innovation Lab (FARIL), Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_23625.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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