Long-term Follow-up of Lisfranc Injuries Treated With Open Reduction Internal Fixation Patient-Reported Outcomes

Foot Ankle Orthop. 2021 Sep 27;6(3):24730114211039496. doi: 10.1177/24730114211039496. eCollection 2021 Jul.

Abstract

Background: There remains a paucity of data regarding long-term patient-reported outcomes following Lisfranc injuries. We sought to collect long-term clinical outcome data following Lisfranc injuries using PROMIS Physical Function (PROMIS-PF) and visual analog scale-foot and ankle (VAS-FA).

Methods: A chart review was performed to identify all patients who had surgical treatment of an acute Lisfranc injury at our institution from 2005 to 2014. Of the 45 patients identified, we were able to recruit 19 for a follow-up clinic visit consisting of physical examination, administration of questionnaires addressing pain and medication usage, radiographs, and completion of outcome surveys including PROMIS-Physical Function and visual analog scale-foot and ankle.

Results: There were 14 female and 5 male patients enrolled in the study with a mean time of 6.25 years from the time of injury. Within this cohort, the mean PROMIS-PF score was 52.4±8.2 and the mean VAS-foot and ankle score was 76.6±22.3.

Conclusion: We report satisfactory long-term patient-reported outcomes using PROMIS-PF and VAS-FA.

Level of evidence: Level III, retrospective cohort study.

Keywords: Lisfranc injuries; PROMIS; foot and ankle surgery; midfoot trauma; open reduction and internal fixation; patient-reported outcomes; trauma.