{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T05:44:58Z","timestamp":1770961498179,"version":"3.50.1"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T00:00:00Z","timestamp":1680825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Traumatic tarsometatarsal joint (TMTJ) injuries are uncommon, but can cause significant morbidity due to delayed or missed diagnosis. Recent evidence highlights the importance of achieving anatomical reduction via operative management. This study aims to analyse trends in rates of open reduction internal fixation (ORIF) for Lisfranc injuries in Australia according to Nationwide claims data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Claims according to the Medicare Benefits Schedule (MBS) on ORIF of traumatic TMTJ injuries were collated for the period from January 2000 to December 2020. Paediatric patients were excluded. Two negative binomial models were utilized to analyse the trends in TMTJ injuries over time after controlling for sex, age group and population changes. Results were absolute and per 100\u2009000 population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>7840 patients underwent TMTJ ORIF over the period studied. There was a mean yearly increase of 12% (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Age group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and year (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) were significant predictors for TMTJ fixation, whilst sex was not (<jats:italic>P<\/jats:italic>\u2009=\u20090.48). Patients older than 65\u2009years were noted to have a 53% lower rate of TMTJ ORIF per person, when compared to the reference group of 25\u201334\u2009year\u2010olds (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Five\u2010year block analysis revealed increases in rate of fixation for all age groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Rates of operative fixation for TMTJ injuries are increasing in Australia. This is likely due to improved diagnostics, understanding of optimal treatment goals, and increased orthopaedic subspecialisation. Further studies with clinical and patient reported outcomes, as well as comparing rates of operative intervention to incidence, will be useful.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18456","type":"journal-article","created":{"date-parts":[[2023,4,7]],"date-time":"2023-04-07T16:44:40Z","timestamp":1680885880000},"page":"1214-1219","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Trends in management of adult tarsometatarsal joint injuries in a contemporary Australian context: a nationwide study of claims data over 20\u2009years"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9762-0908","authenticated-orcid":false,"given":"Mitchell","family":"Fung","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery Royal North Shore Hospital Reserve Rd St Leonards New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brahman","family":"Sivakumar","sequence":"additional","affiliation":[{"name":"Department of Hand and Peripheral Nerve Surgery, Department of Orthopaedic Surgery Royal North Shore Hospital, Hornsby Ku\u2010ring\u2010gai Hospital &amp; Nepean Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8264-0110","authenticated-orcid":false,"given":"Eric","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Surgery and Surgical Education Research and Training Institute Royal North Shore Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayuran","family":"Suthersan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Westmead Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Wines","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, North Sydney Orthopaedic and Sports Medicine Centre Sydney Orthopaedic Foot and Ankle Research Institute, Royal North Shore Hospital Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0852-8868","authenticated-orcid":false,"given":"Rajat","family":"Mittal","sequence":"additional","affiliation":[{"name":"South West Sydney Clinical School UNSW Medicine Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4613-2653","authenticated-orcid":false,"given":"Michael","family":"Symes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, St. George and Sutherland Clinical School Royal North Shore Hospital, UNSW Medicine Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,4,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196345020-00003"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.46B4.700"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01075"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20180213-07"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/rg.342125215"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110078600600504"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201012000-00002"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718799741"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.07.014"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2019.06.002"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2019.04.003"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2020.08.014"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70190-5"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000848"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716675293"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-015-4366-y"},{"key":"e_1_2_8_18_1","unstructured":"Services Australia.Medicare item reports: services Australia;2021. 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