{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:25:07Z","timestamp":1783488307268,"version":"3.55.0"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>This study's objective is to compare outcomes of bioabsorbable versus steel screws for treating Lisfranc injuries.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>This research was conducted in a prospective and randomized manner between September 2008 and December 2013.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>This study was performed in the outpatient setting at a tertiary-level care center in a single surgeon's practice.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients\/Participants:<\/jats:title>\n            <jats:p>Forty patients with acute Lisfranc injuries, amenable to open reduction and screw fixation, enrolled and presented for final follow-up.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Through randomization, 20 and 20 patients received bioabsorbable versus steel screws, respectively.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Outcome Measurements:<\/jats:title>\n            <jats:p>Function and pain were graded using the Foot and Ankle Ability Measures (FAAM) and a visual analog scale of pain. Radiographs were assessed for joint stability and degeneration.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>For those with steel screws, the mean FAAM score increased from 24.9 to 89.6 of 100 and pain score decreased from 6.5 to 1.9 of 10 by latest follow-up. For those with absorbable screws, the mean FAAM score increased from 32.5 to 91.2 and pain score decreased from 4.7 to 1.3 by latest follow-up. These differences in final mean function (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.4) and pain (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.25) between the study groups were not statistically significant. Final radiographs showed no Lisfranc instability in any study patients, but rather midfoot arthritis in 4 and 2 patients with steel versus bioabsorbable screws, respectively. None of the patients who received steel screws had hardware-related problems, but 1 patient who received absorbable fixation developed an inflammatory reaction at a nonresorbed screw head at 2 years after surgery.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Bioabsorbable screws provide short-term results that are comparable and not significantly different from steel screws for treating unstable Lisfranc injuries. Both methods are predictable in improving function and pain, but using absorbable screws eliminates the need for hardware removal after such trauma.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000000663","type":"journal-article","created":{"date-parts":[[2016,8,9]],"date-time":"2016-08-09T17:05:37Z","timestamp":1470762337000},"page":"676-681","source":"Crossref","is-referenced-by-count":19,"title":["Randomized, Prospective Comparison of Bioabsorbable and Steel Screw Fixation of Lisfranc Injuries"],"prefix":"10.1097","volume":"30","author":[{"given":"Jamal","family":"Ahmad","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Rothman Institute Orthopaedics at Thomas Jefferson University Hospital, Philadelphia, PA; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kennis","family":"Jones","sequence":"additional","affiliation":[{"name":"Rothman Institute Orthopaedics at Thomas Jefferson University Hospital, Philadelphia, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1302\/0301-620X.64B3.7096403","article-title":"Injuries to the tarsometatarsal joint: incidence, classification and treatment","volume":"64","author":"Hardcastle","year":"1982","journal-title":"J Bone Joint Surg Br."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1016\/j.injury.2014.11.026","article-title":"Lisfranc injuries","volume":"46","author":"Welck","year":"2015","journal-title":"Injury"},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1177\/1071100714552077","article-title":"Staged treatment of high energy midfoot fracture dislocations","volume":"35","author":"Kadow","year":"2014","journal-title":"Foot Ankle Int."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.fcl.2009.03.008","article-title":"Lisfranc injuries in sport","volume":"14","author":"DeOrio","year":"2009","journal-title":"Foot Ankle Clin."},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"260","DOI":"10.5435\/00124635-200307000-00005","article-title":"Injury to the tarsometatarsal joint complex","volume":"11","author":"Thompson","year":"2003","journal-title":"J Am Acad Orthop Surg."},{"key":"R6-20230828","first-page":"79","article-title":"Fractures and dislocations of the midfoot: Lisfranc and Chopart injuries","volume":"62","author":"Benirschke","year":"2013","journal-title":"Instr Course Lect."},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"119","DOI":"10.3810\/psm.2010.12.1834","article-title":"The midfoot sprain: a review of Lisfranc ligament injuries","volume":"38","author":"Granata","year":"2010","journal-title":"Phys Sportsmed."},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"718","DOI":"10.5435\/00124635-201012000-00002","article-title":"Treatment of Lisfranc joint injury: current concepts","volume":"18","author":"Watson","year":"2010","journal-title":"J Am Acad Orthop Surg."},{"key":"R9-20230828","first-page":"514","article-title":"Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation","volume":"88A","author":"Ly","year":"2006","journal-title":"J Bone Joint Surg."},{"key":"R10-20230828","doi-asserted-by":"crossref","first-page":"113","DOI":"10.5435\/00124635-200602000-00006","article-title":"Hardware removal: indications and expectations","volume":"14","author":"Busam","year":"2006","journal-title":"J Am Acad Orthop Surg."},{"key":"R11-20230828","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.2106\/JBJS.J.01756","article-title":"The benefits of implant removal from the foot and ankle","volume":"94A","author":"Williams","year":"2012","journal-title":"J Bone Joint Surg."},{"key":"R12-20230828","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/0020-1383(92)90121-8","article-title":"Complications of metalwork removal","volume":"23","author":"Sanderson","year":"1992","journal-title":"Injury"},{"key":"R13-20230828","doi-asserted-by":"crossref","first-page":"99","DOI":"10.3113\/FAI-2009-0099","article-title":"Bioabsorbable screw fixation of the syndesmosis in unstable ankle injuries","volume":"30","author":"Ahmad","year":"2009","journal-title":"Foot Ankle Int."},{"key":"R14-20230828","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/0267-6605(92)90083-6","article-title":"Mechanical characterization of biodegradable implants","volume":"10","author":"Claes","year":"1992","journal-title":"Clin Mater."},{"key":"R15-20230828","first-page":"51","article-title":"Strength retention of self-reinforced polyglycolide (SR-PGA) and SR-polylactic acid (PLA) composite rods in vitro and in vivo","volume":"235","author":"Rokkanen","year":"1990","journal-title":"Acta Orthp Scand S."},{"key":"R16-20230828","doi-asserted-by":"crossref","first-page":"26","DOI":"10.2106\/00004623-200201000-00005","article-title":"Treatment of syndesmotic disruptions of the ankle with bioabsorbable screw fixation","volume":"84A","author":"Hovis","year":"2002","journal-title":"J Bone Joint Surg."},{"key":"R17-20230828","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1177\/107110070202301106","article-title":"PLA screw fixation of Lisfranc injuries","volume":"23","author":"Thordarson","year":"2002","journal-title":"Foot Ankle Int."},{"key":"R18-20230828","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1148\/rg.342125215","article-title":"Evaluation of the tarsometatarsal joint using conventional radiography, CT, and MR imaging","volume":"34","author":"Siddiqui","year":"2014","journal-title":"Radiographics"},{"key":"R19-20230828","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1177\/107110078600600504","article-title":"Fracture dislocations of the TMT joints: end results correlated with pathology and treatment","volume":"6","author":"Myerson","year":"1986","journal-title":"Foot Ankle Int."},{"key":"R20-20230828","doi-asserted-by":"crossref","first-page":"2215","DOI":"10.1007\/s00264-015-2939-8","article-title":"Reliability of the Lisfranc injury radiological classification (Myerson-modified Hardcastle classification system)","volume":"39","author":"Mahmoud","year":"2015","journal-title":"Int Orthop."},{"key":"R21-20230828","doi-asserted-by":"crossref","first-page":"50","DOI":"10.3113\/FAI.2012.0050","article-title":"Treatment of Lisfranc fracture-dislocations with primary partial arthrodesis","volume":"33","author":"Reinhardt","year":"2012","journal-title":"Foot Ankle Int."},{"key":"R22-20230828","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.fcl.2005.12.005","article-title":"Treatment of the missed Lisfranc injury","volume":"11","author":"Aronow","year":"2006","journal-title":"Foot Ankle Clin."},{"key":"R23-20230828","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1177\/107110070502601113","article-title":"Evidence of validity for the Foot and Ankle Ability Measure (FAAM)","volume":"26","author":"Martin","year":"2005","journal-title":"Foot Ankle Int."},{"key":"R24-20230828","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/0304-3959(83)90088-X","article-title":"Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale","volume":"16","author":"Carlsson","year":"1983","journal-title":"Pain"},{"key":"R26-20230828","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1308\/rcsann.2006.88.3.320b","article-title":"A technique to remove cannulated screws","volume":"88","author":"Kaleel","year":"2006","journal-title":"Ann R Coll Surg Engl."},{"key":"R27-20230828","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1177\/107110070202301006","article-title":"Functional outcome following anatomic restoration of tarsal-metatarsal fracture dislocation","volume":"23","author":"Teng","year":"2002","journal-title":"Foot Ankle Int."},{"key":"R28-20230828","doi-asserted-by":"crossref","first-page":"417","DOI":"10.5435\/00124635-201007000-00004","article-title":"Midfoot arthritis","volume":"18","author":"Patel","year":"2010","journal-title":"J Am Acad Ortho Surg."},{"key":"R29-20230828","doi-asserted-by":"crossref","first-page":"639","DOI":"10.5604\/15093492.1135124","article-title":"Midterm functional outcome after operative management of midfoot injuries","volume":"16","author":"Latoo","year":"2014","journal-title":"Ortop Traumatol Rehabil."},{"key":"R30-20230828","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.2106\/00004623-200011000-00015","article-title":"Outcome after open reduction and internal fixation of Lisfranc joint injuries","volume":"82A","author":"Kuo","year":"2000","journal-title":"J Bone Joint Surg."},{"key":"R31-20230828","doi-asserted-by":"crossref","first-page":"913","DOI":"10.3113\/FAI.2009.0913","article-title":"Open reduction internal fixation versus primary arthrodesis for Lisfranc injuries: a prospective randomized study","volume":"30","author":"Henning","year":"2009","journal-title":"Foot Ankle Int."},{"key":"R32-20230828","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1177\/107110070202301003","article-title":"Severe Lisfranc injuries: primary arthrodesis or ORIF?","volume":"23","author":"Mulier","year":"2012","journal-title":"Foot Ankle Int."},{"key":"R33-20230828","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1016\/j.injury.2005.12.003","article-title":"A single surgeon's experience of treatment of Lisfranc joint injuries","volume":"37","author":"Rajapakse","year":"2006","journal-title":"Injury"},{"key":"R34-20230828","doi-asserted-by":"crossref","first-page":"113","DOI":"10.5435\/00124635-200802000-00009","article-title":"Removal of broken hardware","volume":"16","author":"Hak","year":"2008","journal-title":"J Am Acad Orthop Surg."},{"key":"R35-20230828","first-page":"249","article-title":"Mechanical characteristics of poly-L-lactic acid absorbable screws and stainless steel screws in basilar osteotomies of the first metatarsal","volume":"33","author":"Lavery","year":"1994","journal-title":"J Foot Ankle Surg."},{"key":"R36-20230828","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1007\/s00402-014-2013-9","article-title":"Degradation of poly-D-L-lactide (PDLLA) interference screws (Megafix)","volume":"134","author":"Achtnich","year":"2014","journal-title":"Arch Orthop Trauma Surg."},{"key":"R37-20230828","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/S1010-5182(99)80009-2","article-title":"SR-PLLA and SR-PGA miniscrews: biodegradation and tissue reactions in the calvarium and dura mater","volume":"27","author":"Peltoniemi","year":"1999","journal-title":"J Craniomaxillofac Surg."},{"key":"R39-20230828","doi-asserted-by":"crossref","first-page":"815","DOI":"10.3928\/01477447-20141124-03","article-title":"Dorsal multiple plating without routine transarticular screws for fixation of Lisfranc injury","volume":"37","author":"Stern","year":"2014","journal-title":"Orthopedics"},{"key":"R40-20230828","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1590\/1413-78522014220600576","article-title":"Outcome comparison of Lisfranc injuries treated through dorsal plate fixation versus screw fixation","volume":"22","author":"Hu","year":"2014","journal-title":"Acta Ortop Bras."},{"key":"R41-20230828","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1053\/ar.1999.v15.015048","article-title":"Serial magnetic resonance imaging evaluation of a bioabsorbable interference screw and the adjacent bone","volume":"15","author":"Lajtai","year":"1999","journal-title":"Arthroscopy"}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00005131-201612000-00009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T06:27:57Z","timestamp":1693204077000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00005131-201612000-00009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12]]},"references-count":39,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000000663","relation":{},"ISSN":["0890-5339"],"issn-type":[{"value":"0890-5339","type":"print"}],"subject":[],"published":{"date-parts":[[2016,12]]}}}