Mini-plate internal fixation for treatment of Lisfranc joint injury: Efficacy and postoperative joint function recovery

doi:10.3877/cma.j.issn.1674-0785.2021.12.014

Abstract

Abstract:

Objective

To evaluate the efficacy of mini-plate internal fixation in the treatment of Lisfranc joint injury and the recovery of joint function after operation.

Methods

One hundred and six patients with Lisfranc joint injury treated at Guiyang Fourth People's Hospital from January 2019 to December 2020 were selected as the research subjects. Using the random number table method, the patients were divided into an observation group and a control group, with 53 cases in each group. The control group was treated by screw internal fixation, and the observation group was treated by mini-plate internal fixation. According to the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hind foot scoring system, the recovery of joint function was assessed in the two groups. The operative time, length of hospital stay, intraoperative blood loss, incision healing time, and fracture healing time were evaluated. The levels of interleukin-1β (IL-1β), interleukin-8 (IL-8), tumor necrosis factor-α (TNF-α), and pain stress indices [substance P (SP), prostaglandin E₂ (PGE₂), and neuropeptide Y (NPY)] were detected before and after surgery. The incidence of postoperative complications in the two groups was statistically compared.

Results

The excellent and good rate of joint function recovery in the observation group was significantly higher than that in the control group at 3 months after operation (P＜0.05). There was no significant difference in operation time between the two groups (P＞0.05). The hospitalization time, intraoperative bleeding, incision healing time, and fracture healing time in the observation group were significantly shorter than those in the control group (P＜0.05). The levels of IL-1β, IL-8, TNF-α, SP, PGE₂, and NPY after operation were significantly higher than those before treatment in both groups (P＜0.05), and these indexes in the observation group were significantly lower than those in the control group (P＜0.05). The total incidence of complications in the observation group was significantly lower than that in the control group (P＜0.05).

Conclusion

Mini-plate fixation for the treatment of Lisfranc joint injury has higher safety and fewer complications, and has the same curative effect as screw fixation, which is worthy of clinical promotion.

Key words: Internal fixation surgery, Lisfranc joint injury, Inflammatory cytokines, Joint function

Ke Shang, Yikui Wang, Bei Liu, Wei Liu. Mini-plate internal fixation for treatment of Lisfranc joint injury: Efficacy and postoperative joint function recovery[J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(12): 989-994.

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Figures/Tables 8

References 19

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组别	例数	优	良	可	差	优良率
观察组	53	15（28.30）	33（62.26）	4（7.55）	1（1.89）	48（90.57）
对照组	53	14（26.42）	26（49.06）	9（16.98）	4（7.55）	40（75.47）
χ²值						4.283
P值						0.038

组别	例数	优	良	可	差	优良率
观察组	53	15（28.30）	33（62.26）	4（7.55）	1（1.89）	48（90.57）
对照组	53	14（26.42）	26（49.06）	9（16.98）	4（7.55）	40（75.47）
χ²值						4.283
P值						0.038

组别	手术时间（min）	住院时间（d）	术中出血量（ml）	切口愈合时间（d）	骨折愈合时间（周）
观察组	116.67±21.45	9.56±2.85	41.87±7.14	12.31±1.09	13.68±6.62
对照组	110.75±20.63	13.07±4. 05	64.73±12.89	16.66±3.12	18.15±7.43
t值	1.448	5.160	11.294	9.582	3.270
P值	0.151	＜0.001	＜0.001	＜0.001	0.002

组别	手术时间（min）	住院时间（d）	术中出血量（ml）	切口愈合时间（d）	骨折愈合时间（周）
观察组	116.67±21.45	9.56±2.85	41.87±7.14	12.31±1.09	13.68±6.62
对照组	110.75±20.63	13.07±4. 05	64.73±12.89	16.66±3.12	18.15±7.43
t值	1.448	5.160	11.294	9.582	3.270
P值	0.151	＜0.001	＜0.001	＜0.001	0.002

组别	例数	IL-1β（ug/L）		IL-8（pg/ml）		TNF-α（pg/ml）
组别	例数	术前	术后7 d	术前	术后7 d	术前	术后7 d
观察组	53	2.45±0.38	3.02±0.56^a	9.87±1.63	10.08±1.85^a	11.09±1.83	11.24±2.03^a
对照组	53	2.38±0.36	3.41±0.71^a	9.92±1.66	11.36±1.89^a	11.24±1.78	12.86±2.24^a
t值		0.934	3.140	0.156	3.523	0.428	3.901
P值		0.333	0.002	0.876	0.001	0.670	＜0.001

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