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A systematic review of the literature (according to PRISMA 2020 guidelines) was performed of studies published between January 2000 to April 2024. Inclusion criteria were acute, complex Lisfranc and\/or Chopart injury, staged treatment, age\u2009\n                      <jats:italic>\u2265<\/jats:italic>\n                      \u200917 years, patient-reported outcome measures and\n                      <jats:italic>\u2265<\/jats:italic>\n                      \u20091 year follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifteen patients with a median follow-up of 6.6 years (interquartile range 4) were included. First stage treatment involved temporary K-wire fixation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200911), debridement (open fractures,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094), external fixation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094) and decompression fasciotomy (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093). Second stage included primary arthrodesis (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094), open reduction and internal fixation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097) or external fixation (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091). The median number of surgeries was 3 (2\u201313). Infection was seen in 5\/15 patients; 7\/11 patients underwent secondary arthrodesis and one patient underwent amputation due to chronic pain. Overall AOFAS was fair (54.5) and five patients had poor outcome (AOFAS\u2009&lt;\u200949). Three full-length articles were included in the systematic review, reporting fair to good outcome. Risk of bias was serious and certainty of evidence very low.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Surgical management of complex Lisfranc and Chopart injuries is challenging, functional outcome was poor to fair, postoperative complication rates are high, and secondary salvage arthrodesis was required in two thirds of ORIF patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00068-024-02747-w","type":"journal-article","created":{"date-parts":[[2025,1,24]],"date-time":"2025-01-24T11:04:01Z","timestamp":1737716641000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Long-term results of staged management of complex lisfranc and chopart injury: a retrospective cohort study and systematic literature review"],"prefix":"10.1007","volume":"51","author":[{"given":"Esmee W. 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