Military personnel sustaining Lisfranc injuries have high rates of disability separation.
J R Army Med Corps
; 163(3): 215-219, 2017 Jun.
Article
em En
| MEDLINE
| ID: mdl-27940985
ABSTRACT
OBJECTIVES:
Lisfranc injuries are relatively uncommon midfoot injuries disproportionately affecting young, active males. Previous studies in civilian populations have reported relatively good results with operative treatment. However, treatment results have not been specifically examined in military personnel, who may have higher physical demands than the general population. The purpose of this study was to examine rates of return to military duty following surgical treatment of isolated Lisfranc injuries.METHODS:
Surgical records and radiographic images from all active duty US military personnel treated for an isolated Lisfranc injury between January 2005 and July 2014 were examined. Demographic information, injury data, surgical details and subsequent return to duty information were recorded. The primary outcome was ability to return to unrestricted military duty following treatment. The secondary outcome was secondary conversion to a midfoot arthrodesis following initial open reduction internal fixation.RESULTS:
Twenty-one patients meeting inclusion criteria were identified. Median patient age was 23â years, and mean follow-up was 43â months. Within this cohort, 14 patients were able to return to military service, while seven required a disability separation from the armed forces. Of the 18 patients who underwent initial fixation, eight were subsequently revised to midfoot arthrodesis for persistent pain.DISCUSSION:
Military personnel sustaining Lisfranc injuries have high rates of persistent pain and disability, even after optimal initial surgical treatment. Military surgeons should counsel patients on the career-threatening nature of this condition and high rates of secondary procedures.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ossos do Metatarso
/
Ossos do Tarso
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Traumatismos do Pé
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Retorno ao Trabalho
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Militares
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article