A CASE SERIES OF COMPOUND LISFRANC FRACTURE MANAGED BY REDUCTION-OPEN TECHNIQUE AND FIXED INTERNALLY WITH AXIAL KIRSCHNER WIRE
Author(s): RUTHIRA KUMAR M, GANESH, VASANTH KUMAR
Abstract
Purpose: the main purpose of the study is to prospectively analyse the functional outcome of compound lisfranc fracture managed by reduction-open technique and fixed internally with axial kirschner wire.
Methods: a prospective analysis of 17 patients ( 9 men and 8 women, with mean age 35 yrs) with hardcastle and myerson classification compound lisfranc fractures managed by reduction-open technique and fixed internally with axial kirschner wire between july 2019 and july 2021 was performed. the outcomes were studied based on range of motion (rom) and visual analog score (vas).
Results: the mean rom and vas at the interval of 3 weeks, 5 weeks, 7 weeks, 6 months, 1 year shows excellent improvement. The mean vas score is 8.8 and range of motion is excellent.
Conclusion: in the present study,17 patients with compound lisfranc fracture managed by reduction-open technique and fixed internally with axial kirschner wire. fixation of the compound lisfranc fracture using kirschner wire allows for early rehabilitation of the patient and has excellent functional outcome with less incidence of complications. hence, we strongly recommend to consider it in the treatment of such fractures.