Short-term effectiveness of Endobutton plate in reconstruction of Lisfranc ligament_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WANG Wei , FAN Yongfei , LIU Chaoyu , XU Wenqiang , MA Xiulin , XU Jian ,  YU Haiyang

Department of Orthopaedic Surgery, Fuyang People’s Hospital, Fuyang Clinical College of Anhui Medical University, Fuyang Anhui, 236000, P.R.China;

Corresponding author：

YU Haiyang, Email: fy.yhy@163.com

Keywords：

Endobutton plate; Lisfranc ligament; tarsometatarsal joint; ligament reconstruction; foot function

DOI：

10.7507/1002-1892.202005034

Video：

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Objective To observe the short-term effectiveness of Endobutton plate in the reconstruction of Lisfranc ligament in tarsometatarsal joint injury.Methods Between March 2015 and July 2018, 18 patients with tarsometatarsal joint injuries were treated with Lisfranc ligament reconstruction by Endobutton plate. There were 12 males and 6 females with an average age of 32.5 years (range, 16-55 years). The causes of injury were traffic accident in 8 cases, falling from height in 3 cases, crushing by a heavy objective in 4 cases, and spraining in 3 cases. There were 10 cases of Myerson type A, 4 of type B1, 2 of type B2, 1 of type C1, and 1 of type C2. The interval between injury and operation ranged from 3 to 9 days (mean, 4.9 days). X-ray examination was performed regularly after operation to measure the distance between the first and the second metatarsal joints, and the visual analogue scale (VAS) score was used to evaluate the pain relief. At last follow-up, the reduction of tarsometatarsal joint was evaluated by measuring and comparing the height of the affected and healthy arches. The foot function was evaluated according to the American Orthopaedic Foot and Ankle Society (AOFAS) score.Results The average follow-up time was 15.8 months (range, 10-28 months). All incisions healed by first intention. X-ray reexamination showed that there was no screw loosening or plate fracture. There were significant differences in the distance between the first and the second metatarsal joints and VAS score at 3 months after operation, before removal of the internal fixator, and at last follow-up when compared with preoperative values (P<0.05). There was no significant difference between the time points after operation (P>0.05). At last follow-up, there was no significant difference in the arch height between affected foot [(5.3±0.2) mm] and healthy foot [(5.4± 0.3) mm] (t=1.798, P=0.810). The AOFAS score of foot function was 89.5±7.3 with excellent in 12 cases, good in 4 cases, and fair in 2 cases. The excellent and good rate was 88.9%.Conclusion The reconstruction of Lisfranc ligament with Endobutton plate can stabilize the tarsometatarsal joint and achieve satisfactory foot function at early stage.

Citation： WANG Wei, FAN Yongfei, LIU Chaoyu, XU Wenqiang, MA Xiulin, XU Jian, YU Haiyang. Short-term effectiveness of Endobutton plate in reconstruction of Lisfranc ligament. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(11): 1382-1386. doi: 10.7507/1002-1892.202005034 Copy

1.	Cenatiempo M, Buzzi R, Bianco S, et al. Tarsometatarsal joint complex injuries: A study of injury pattern in complete homolateral lesions. Injury, 2019, 50(Suppl 2): S8-S11.
2.	VanPelt MD, Athey A, Yao J, et al. Is routine hardware removal following open reduction internal fixation of tarsometatarsal joint fracture/dislocation necessary? J Foot Ankle Surg, 2019, 58(2): 226-230.
3.	Hirano T, Niki H, Beppu M. Anatomical considerations for reconstruction of the Lisfranc ligament. J Orthop Sci, 2013, 18(5): 720-726.
4.	Briceno J, Stupay KL, Moura B, et al. Flexible fixation for ligamentous lisfranc injuries. Injury, 2019, 50(11): 2123-2127.
5.	Moracia-Ochagavía I, Rodríguez-Merchán EC. Lisfranc fracture-dislocations: current management. EFORT Open Rev, 2019, 4(7): 430-444.
6.	Panchbhavi VK, Molina D, Villarreal J, et al. Three-dimensional, digital, and gross anatomy of the Lisfranc ligament. Foot Ankle Int, 2013, 34(6): 876-880.
7.	Ablimit A, Ding HY, Liu LG. Magnetic resonance imaging of the Lisfranc ligament. J Orthop Surg Res, 2019, 14(1): 50.
8.	Sripanich Y, Steadman J, Krähenbühl N, et al. Asymmetric lambda sign of the second tarsometatarsal joint on axial weight-bearing cone-beam CT scans of the foot: preliminary investigation for diagnosis of subtle ligamentous Lisfranc injuries in a cadaveric model. Skeletal Radiol, 2020, 49(10): 1615-1621.
9.	Nery C, Baumfeld D, Baumfeld T, et al. Comparison of suture-augmented ligamentplasty to transarticular screws in a Lisfranc cadaveric model. Foot Ankle Int, 2020, 41(6): 735-743.
10.	Vopat BG, Vopat ML, van Dijk PAD, et al. Return to sport after surgical treatment of Lisfranc injuries in athletes: a retrospective case series. Kans J Med, 2019, 12(4): 141-145.
11.	Fernandez I, Weiss WM, Panchbhavi VK. Evaluation of the area of the Lisfranc ligament damaged by screw fixation. Foot Ankle Spec, 2019, 12(1): 49-53.
12.	Lau S, Guest C, Hall M, et al. Functional outcomes post Lisfranc injury-transarticular screws, dorsal bridge plating or combination treatment? J Orthop Trauma, 2017, 31(8): 447-452.
13.	Hu SJ, Chang SM, Li XH, et al. Outcome comparison of Lisfranc injuries treated through dorsal plate fixation versus screw fixation. Acta Ortop Bras, 2014, 22(6): 315-320.
14.	Hirano T, Niki H, Beppu M. Newly developed anatomical and functional ligament reconstruction for the Lisfranc joint fracture dislocations: a case report. Foot Ankle Surg, 2014, 20(3): 221-223.
15.	Xue C, Song LJ, Zhang H, et al. Truly anatomic coracoclavicular ligament reconstruction with 2 Endobutton devices for acute Rockwood type Ⅴ acromioclavicular joint dislocations. J Shoulder Elbow Surg, 2018, 27(6): e196-e202.
16.	Shafiq B, Thamyongkit S. Bimalleolar ankle fracture with syndesmotic sprain: ORIF and suture-endobutton repair. J Orthop Trauma, 2019, 33(Suppl 1): S36-S37.
17.	Ranjan R, Gaba S, Goel L, et al. In vivo comparison of a fixed loop (EndoButton CL) with an adjustable loop (TightRope RT) device for femoral fixation of the graft in ACL reconstruction: A prospective randomized study and a literature review. J Orthop Surg (Hong Kong), 2018, 26(3): p2309499018799787.
18.	Zooker CC, Parks BG, White KL, et al. TightRope versus fiber mesh tape augmentation of acromioclavicular joint reconstruction: a biomechanical study. Am J Sports Med, 2010, 38(6): 1204-1208.

1. Cenatiempo M, Buzzi R, Bianco S, et al. Tarsometatarsal joint complex injuries: A study of injury pattern in complete homolateral lesions. Injury, 2019, 50(Suppl 2): S8-S11.
2. VanPelt MD, Athey A, Yao J, et al. Is routine hardware removal following open reduction internal fixation of tarsometatarsal joint fracture/dislocation necessary? J Foot Ankle Surg, 2019, 58(2): 226-230.
3. Hirano T, Niki H, Beppu M. Anatomical considerations for reconstruction of the Lisfranc ligament. J Orthop Sci, 2013, 18(5): 720-726.
4. Briceno J, Stupay KL, Moura B, et al. Flexible fixation for ligamentous lisfranc injuries. Injury, 2019, 50(11): 2123-2127.
5. Moracia-Ochagavía I, Rodríguez-Merchán EC. Lisfranc fracture-dislocations: current management. EFORT Open Rev, 2019, 4(7): 430-444.
6. Panchbhavi VK, Molina D, Villarreal J, et al. Three-dimensional, digital, and gross anatomy of the Lisfranc ligament. Foot Ankle Int, 2013, 34(6): 876-880.
7. Ablimit A, Ding HY, Liu LG. Magnetic resonance imaging of the Lisfranc ligament. J Orthop Surg Res, 2019, 14(1): 50.
8. Sripanich Y, Steadman J, Krähenbühl N, et al. Asymmetric lambda sign of the second tarsometatarsal joint on axial weight-bearing cone-beam CT scans of the foot: preliminary investigation for diagnosis of subtle ligamentous Lisfranc injuries in a cadaveric model. Skeletal Radiol, 2020, 49(10): 1615-1621.
9. Nery C, Baumfeld D, Baumfeld T, et al. Comparison of suture-augmented ligamentplasty to transarticular screws in a Lisfranc cadaveric model. Foot Ankle Int, 2020, 41(6): 735-743.
10. Vopat BG, Vopat ML, van Dijk PAD, et al. Return to sport after surgical treatment of Lisfranc injuries in athletes: a retrospective case series. Kans J Med, 2019, 12(4): 141-145.
11. Fernandez I, Weiss WM, Panchbhavi VK. Evaluation of the area of the Lisfranc ligament damaged by screw fixation. Foot Ankle Spec, 2019, 12(1): 49-53.
12. Lau S, Guest C, Hall M, et al. Functional outcomes post Lisfranc injury-transarticular screws, dorsal bridge plating or combination treatment? J Orthop Trauma, 2017, 31(8): 447-452.
13. Hu SJ, Chang SM, Li XH, et al. Outcome comparison of Lisfranc injuries treated through dorsal plate fixation versus screw fixation. Acta Ortop Bras, 2014, 22(6): 315-320.
14. Hirano T, Niki H, Beppu M. Newly developed anatomical and functional ligament reconstruction for the Lisfranc joint fracture dislocations: a case report. Foot Ankle Surg, 2014, 20(3): 221-223.
15. Xue C, Song LJ, Zhang H, et al. Truly anatomic coracoclavicular ligament reconstruction with 2 Endobutton devices for acute Rockwood type Ⅴ acromioclavicular joint dislocations. J Shoulder Elbow Surg, 2018, 27(6): e196-e202.
16. Shafiq B, Thamyongkit S. Bimalleolar ankle fracture with syndesmotic sprain: ORIF and suture-endobutton repair. J Orthop Trauma, 2019, 33(Suppl 1): S36-S37.
17. Ranjan R, Gaba S, Goel L, et al. In vivo comparison of a fixed loop (EndoButton CL) with an adjustable loop (TightRope RT) device for femoral fixation of the graft in ACL reconstruction: A prospective randomized study and a literature review. J Orthop Surg (Hong Kong), 2018, 26(3): p2309499018799787.
18. Zooker CC, Parks BG, White KL, et al. TightRope versus fiber mesh tape augmentation of acromioclavicular joint reconstruction: a biomechanical study. Am J Sports Med, 2010, 38(6): 1204-1208.

Chinese Journal of Reparative and Reconstructive Surgery

Short-term effectiveness of Endobutton plate in reconstruction of Lisfranc ligament

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