Epidemiología y tratamiento de las fracturas luxaciones del mediopie

Abstract

Objective: Analysis of demographic characteristics, types of surgical treatment and results of patients with Lisfranc lesions. Material and methods. Based on 42 Lisfranc dislocation , we analyze the demographic characteristics of our series and compare the results between 25 patients treated by open reduction and internal fixation (ORIF) and 17 by primary arthrodesis. Results. In relation to demographic characteristics, in 77.8% of women the mechanism of action was low-energy, compared to 45.8% of men with a statistically significant difference (p 0.037). No statistically significant were found on the AOFAS scale based on mecha-nism of action, injury classification and type of final surgery. We do not find a statistically significant difference between the type of treatment and complications with a p of 0.228. We do not include the removal of material protocolized as a complication in the ORIF group. Conclusions. Lisfranc lesions caused by low-energy mechanisms are more common in women. The superiority of one treatment over another in relation to the complication rate and functional results on the AOFAS scale could not be demostrated.