Arthrodesis Versus Extra-articular Plate Fixation in Lisfranc Injury

University of Oslo (UIO)

Status: Completed

Conditions: Lisfranc Injuries

Treatments: Procedure: Primary arthrodesis; Procedure: Temporary extraarticular plate fixation; Procedure: Primary arthrodesis TMT 2 and 3

Study type: Interventional

Funder types: Other

Identifiers

NCT01448941

206025 (REK-ID)

Details and patient eligibility

About

The purpose of this study is to compare arthrodesis of the first TMT-joint to extraarticular bridge plate fixation of the same joint in acute Lisfranc injuries.

Full description

We want to compare arthrodesis of TMT 1 to temporary bridge plating of TMT 1 in acute Lisfranc injuries where at least tarsometatarsal joints 1-3 are involved.

We preform arthrodesis of TMT 2 and 3 in both groups.

Enrollment: 48 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Lisfranc injuries with instability off TMT1, and fracture/instability of TMT 2 and 3. No major fracture in relation to TMT1.
• Age 18-65

Exclusion criteria

• Feet with other major foot/ankle injuries
• Previous foot infection or foot pathology on affected side
• Previous surgery to the TMT joints
• Sequelae after previous foot injuries
• Diabetes mellitus, neuropathy and peripheral vascular disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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48 participants in 2 patient groups

Primary arthrodesis TMT 1

Active Comparator group

Description:

Arthrodesis TMT 1 when instability is present. Primary arthrodesis TMT 2 and 3 when instability present

Treatment:

Procedure: Primary arthrodesis TMT 2 and 3

Procedure: Primary arthrodesis

Temporary extraarticular plate fixation

Experimental group

Description:

Temporary extraarticular plate fixation of TMT 1 when instability is present. Primary arthrodesis TMT 2 and 3 when instability present

Treatment:

Procedure: Primary arthrodesis TMT 2 and 3

Procedure: Temporary extraarticular plate fixation