A Prospective Study on Functional Outcome of Various Modalities of Treatment of Midfoot Injuries

1 Postgraduate, Department of Orthopaedics, Rajah Muthiah Medical College & Hospital, Annamalai University 2 Professor & HOD, Department of Orthopaedics, Rajah Muthiah Medical College & Hospital, Annamalai University *3 Lecturer, Department of Orthopaedics, Rajah Muthiah Medical College & Hospital, Annamalai University 4 Senior Resident, Department of Orthopaedics, Rajah Muthiah Medical College & Hospital, Annamalai University *Corresponding Author Dr V. Barathi Selvan Email: drbarathiselvan@gmail.com Abstract Introduction: Midfoot injuries are highly uncommon injuries, often due to high-energy trauma. The purpose of the study is to evaluate the functional outcomes of various modalities of treatment of midfoot injuries. Methods: Prospective single centre study, conducted for a period of 24 months in a rural secondary level hospital, which included 40 patients aged between 18 and 62 years, with midfoot injuries. Final outcome analysis included demographic, injury and treatment characteristics. Results: Forty patients with 40 midfoot injuries were included. The majority of patients suffered highenergy trauma. Mean AOFAS score among patients treated by operative methods was 68.5 while in those treated conservatively was 78.8.Mean AOFAS score among patients with Lisfranc joint injuries was 67.6 while in those with tarsal bone injuries was 74.2. Mean AOFAS score was 72.22 (Range 51 – 85). Primary arthrodesis was performed in neglected injuries. Concomitant injuries were associated with poorer functional outcome. Superficial skin infection, Screw breakage (Implant Failure), Post traumatic arthritis and flat foot were the post operative complications encountered. Conclusions: Injuries of the midfoot have midto long-term effects on quality of life after trauma. Restoration of anatomic configuration is the cornerstone of treating midfoot injuries and is the most important factor in predicting the functional outcome of these patients.

• Publication year

  2018

• Venue

  Journal of Medical Science And clinical Research

• Publication date

  2018-10-29

• Fields of study

  Medicine

• Identifiers
  DOI 10.18535/JMSCR/V6I10.217
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

• Functional outcomes and quality of life in patients with subtalar arthrodesis for posttraumatic arthritis.

  2017cited by this paper
• The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population

  2017cited by this paper
• Dutch Tariff for the Five-Level Version of EQ-5D.

  2016cited by this paper
• Health-related quality of life in trauma patients who sustained a calcaneal fracture.

  2016cited by this paper
• Temporary Internal Fixation for Ligamentous and Osseous Lisfranc Injuries

  2015cited by this paper
• Patient-reported health-related quality of life after a displaced intra-articular calcaneal fracture: a systematic review

  2015cited by this paper
• Operative Compared with Nonoperative Treatment of Displaced Intra-articular Calcaneal Fractures: A Prospective, Randomized, Controlled Multicenter Trial

  2014cited by this paper
• Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial

  2014cited by this paper
• Functional outcome and patient satisfaction after displaced intra-articular calcaneal fractures: a comparison among open, percutaneous, and nonoperative treatment.

  2014cited by this paper
• Treatment of Lisfranc Fracture-Dislocations with Primary Partial Arthrodesis

  2012cited by this paper
• Incidence and significance of injuries to the foot and ankle in polytrauma patients--an analysis of the Trauma Registry of DGU.

  2010cited by this paper
• Open Reduction Internal Fixation versus Primary Arthrodesis for Lisfranc Injuries: A Prospective Randomized Study

  2009cited by this paper
• Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. Surgical technique.

  2007cited by this paper
• Etiology, treatment and long-term results of isolated midfoot fractures

  2006cited by this paper
• Treatment of primarily ligamentous Lis-Franc joint injuries: Primary arthrodesis compared with open reduction and internal fixation

  2006influential reference
• The health status of the Dutch population as assessed by the EQ-6D

  2005cited by this paper
• The impact of injuries below the knee joint on the long-term functional outcome following polytrauma.

  2005cited by this paper
• Functional Outcome of Multiply Injured Patients with Associated Foot Injury

  2002cited by this paper
• Fractures and Fracture Dislocations of the Midfoot: Occurrence, Causes and Long-term Results

  2001influential reference
• EQ-SD: a measure of health status from the EuroQol Group

  2001cited by this paper
• Outcome After Open Reduction and Internal Fixation of Lisfranc Joint Injuries*

  2000cited by this paper
• Clinical Rating Systems for the Ankle-Hindfoot, Midfoot, Hallux, and Lesser Toes

  1997cited by this paper
• Fracture-dislocations of the tarsometatarsal joint, a combined anatomical and computed tomographic study.

  1992cited by this paper

• No citing papers are available for this paper.