In multivariate analysis, an age between 40 and 60 years was found to be a significant predictor of neuropathic pain. In univariate analysis, the following parameters were associated with neuropathic pain: age, hypertension, a thyroid disorder, lower back pain, fracture dislocations, and late complications such as nonunion, posttraumatic arthritis, or osteochondral injury. Persistent neuropathic pain symptoms were present in 61 of all patients, and 51 of these patients reported an impaired quality of life caused by their symptoms. ![]() Mean follow-up period was 5.8 years (☑.9). A total of 271 patients completed the questionnaire. Descriptive statistics were used to present patient characteristics a logistic regression model was used to analyze prognostic factors of neuropathic pain. Pain symptoms were assessed using the McGill Pain Questionnaire (MPQ) and the Douleur Neuropathic en 4 Questions (DN4) Questionnaire. In this observational retrospective survey, a cohort of 527 women and men, who underwent ORIF in the period from January 2007 to January 2014, were invited to an online questionnaire. Superficial nerve complications following ankle surgery may be the cause of chronic pain and disability. Long-term functional outcome is satisfying in most patients however, a number of patients have persistent complaints. All rights reserved.Unstable ankle fractures require treatment with open reduction and internal fixation (ORIF). Lisfranc injuries arthrodesis open reduction and internal fixation tarsometatarsal.Ĭopyright © 2018 the American College of Foot and Ankle Surgeons. ![]() The current literature requires high-quality and adequately powered RCTs. The available evidence is limited and is not adequately robust to make explicit conclusions. The results of the current study suggest that primary arthrodesis may be associated with better pain and functional outcomes and lower need for revision surgery compared with ORIF. ![]() 00001), and lower American Orthopaedic Foot & Ankle Society score (mean difference -29.80, 95% CI -39.82 to -19.78, p <. 00001), higher visual analogue scale pain score (mean difference 2.90, 95% CI 2.84 to 2.96, p <. Separate analysis of RCTs showed that ORIF was associated with a more frequent need for revision surgery (OR 17.56, 95% CI 5.47 to 56.38, p <. However, we found no significant difference between the groups in terms of visual analogue scale pain score, American Orthopaedic Foot & Ankle Society functional score, or rates of infection. 0001) and a significantly higher rate of persistent pain (OR 6.29, 95% CI 1.07 to 36.89, p =. Our results demonstrate that ORIF is associated with a significantly higher need for revision surgery (odds ratio 6.37, 95% confidence interval 2.68 to 15.11, p <. Two RCTs and 3 observational studies were identified, compiling a total of 187 subjects with acute Lisfranc injuries and a mean follow-up duration of 62.3 months. Random- and fixed-effect statistical models were applied to calculate the pooled outcome data. MEDLINE, EMBASE, CINAHL, and the Cochrane Central Register of Controlled Trials were searched to identify both randomised controlled trials (RCTs) and nonrandomised studies comparing the outcomes of ORIF and primary arthrodesis for Lisfranc injuries. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement standards, a systematic review was carried out. ![]() This study aims to compare outcomes of open reduction and internal fixation (ORIF) and primary arthrodesis in management of Lisfranc injuries.
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