{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T17:12:04Z","timestamp":1782321124703,"version":"3.54.5"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To assess medium-term functional outcomes and the complication profile for unstable Lisfranc injuries treated with dorsal bridge plate (DBP) fixation when implants are not routinely removed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Large single-center retrospective case series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Level-1 Trauma Center, London, United Kingdom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Consecutive cases of skeletally mature individuals with unstable Lisfranc injuries treated operatively between 2014 and 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>Open reduction and DBP fixation with implants not routinely removed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measurements:<\/jats:title>\n                    <jats:p>Patient-reported outcome measures at final follow-up. The Manchester-Oxford Foot Questionnaire summary index was the primary outcome measure. The American Orthopaedic Foot and Ankle Society (AOFAS) midfoot scale, complications, and all-cause reoperation rates were secondary outcome measures. Logistic regression models were used to identify risk factors that influenced outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Eighty-five patients were included. Mean follow-up was 40.8 months (24\u201372). The mean Manchester-Oxford Foot Questionnaire Summary Index was 27.0 (SD 7.1) and mean AOFAS score 72.6 (SD 11.6). The presence of an intra-articular fracture was associated with poorer outcomes, with worse MOXFQ and AOFAS scores (both\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Eighteen patients (21%) required implants removal, with this more likely in female patients (OR 3.89, 95% confidence interval, 1.27 to 12.0,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02). Eight patients (9%) required secondary arthrodesis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This is the largest series of Lisfranc injuries treated with DBP fixation reported to-date and the only to routinely retain implants. Medium-term outcomes are comparable to existing literature in which implants are routinely removed. The presence of an intra-articular fracture is a poor prognostic indicator. Implant removal is more likely to be needed in female patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Therapeutic Level IV. See Instructions for authors for a complete description of levels of evidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/bot.0000000000002469","type":"journal-article","created":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T15:00:35Z","timestamp":1660143635000},"page":"e22-e27","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Functional Outcomes of Dorsal Bridge Plating for Lisfranc Injuries With Routine Implant Retention: A Major Trauma Center Experience"],"prefix":"10.1097","volume":"37","author":[{"given":"Elliot","family":"Onochie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson","family":"Bua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kingsley","family":"Mmerem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nima","family":"Heidari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandros","family":"Vris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesc","family":"Malagelada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Parker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luckshmana","family":"Jeyaseelan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20251120","doi-asserted-by":"crossref","first-page":"246","DOI":"10.2106\/00004623-196345020-00003","article-title":"Dislocations of the tarsometatarsal joint","volume":"45-","author":"Aitken","year":"1963","journal-title":"J Bone Joint Surg Am."},{"key":"R2-20251120","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1302\/0301-620X.46B4.700","article-title":"Dislocations of the metatarsal bone and adjacent toe","volume":"46","author":"English","year":"1964","journal-title":"J Bone Joint Surg Br."},{"key":"R3-20251120","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1177\/107110078600600504","article-title":"Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment","volume":"6","author":"Myerson","year":"1986","journal-title":"Foot Ankle."},{"key":"R4-20251120","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.2106\/00004623-199072100-00013","article-title":"Subtle injuries of the Lisfranc joint","volume":"72","author":"Faciszewski","year":"1990","journal-title":"J Bone Joint Surg Am."},{"key":"R5-20251120","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1177\/107110070502600607","article-title":"Ligamentous Lisfranc joint injuries: a biomechanical comparison of dorsal plate and transarticular screw fixation","volume":"26","author":"Alberta","year":"2005","journal-title":"Foot Ankle Int."},{"key":"R6-20251120","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1016\/j.jcot.2020.03.019","article-title":"Dorsal bridge plating versus. 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