Abstract
Category:
Midfoot/Forefoot
Introduction/Purpose:
The purpose of this systematic review was to evaluate the clinical and radiological outcomes at short-term follow-up following suture button fixation for the management of ligamentous Lisfranc injuries.
Methods:
During January 2024, the PubMed, Embase and Cochrane library databases were systematically reviewed to identify clinical studies examining outcomes following suture button fixation for the management of ligamentous Lisfranc injuries. Data regarding patient demographics, pathological characteristics, subjective clinical outcomes, radiological outcomes, complications and failure rates were extracted and analysed.
Results:
Ten studies were included. In total, 100 patients (100 feet) underwent suture button fixation for the management of ligamentous Lisfranc injuries at a weighted mean follow-up of 30.5±10.3 months. The AOFAS score improved from a weighted mean pre-operative score of 52.9±11.8 to a weighted mean post-operative score of 89.0±5.4. The VAS score improved from a weighted mean pre-operative score of 7.7±0.6 to a weighted mean post-operative score of 2.1±0.4. In total, 100% of patients returned to sport at a mean time of 22.3±4.8 weeks. The complication rate was 13.5%, the most common of which was residual midfoot stiffness (3.0%). No failures nor secondary surgical procedures were recorded.
Conclusion:
This systematic review demonstrated improvement in subjective clinical with a moderate complication rate at short-term follow-up following suture button fixation for the management of ligamentous Lisfranc injuries. No failures nor secondary surgical procedures were recorded. Further high quality comparative studies are warranted to determine the optimal role of suture button fixation in the management of ligamentous Lisfranc injuries.