{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:19:42Z","timestamp":1791973182611,"version":"4.3.4"},"reference-count":39,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2001,5,1]],"date-time":"2001-05-01T00:00:00Z","timestamp":988675200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2001,5]]},"abstract":"<jats:p>Etiology and outcome of 155 patients with midfoot fractures between 1972 and 1997 were analyzed to create a basis for treatment optimization.<\/jats:p>\n                  <jats:p>Cause of injuries were traffic accidents (72.2%), falls (11.6%), blunt injuries (7.7%) and others (5.8%). Isolated midfoot fractures (I) were found in 55 (35.5%) cases, Lisfranc fracture dislocations (L) in 49 (31.2%), Chopart-Lisfranc fracture dislocations (CL) in 26 (16.8%) and Chopart fracture dislocations (C) in 25 (16%). One hundred and forty eight (95%) of the midfoot fractures were treated operatively; 30 with closed reduction, 115 with open reduction, 3 patients had a primary amputation. Seven (5%) patients were treated non-operatively. Ninety seven (63%) patients had follow-up at an average of 9 (1.3\u201325, median 8.5) years. The average scores of the entire follow-up group were as follows: AOFAS \u2013 sum of all four sections (AOFAS-ET): 296, AOFAS-Midfoot (AOFAS-M): 71, Hannover Scoring System (HSS): 65, and Hannover Questionnaire (Q): 63. Regarding age, gender, cause, time from injury to treatment and method of treatment no score differences were noted (t-test: p &gt; 0.05). L, C or I showed similar scores and CL significantly lower scores (AOFAS-ET, AOFAS-M, HSS, Q). The highest scores in all groups were achieved in those fractures treated with early open reduction and operative fixation.<\/jats:p>\n                  <jats:p>Midfoot fractures, particularly fracture dislocation injuries, effect the function of the entire foot in the long-term outcome. But even in these complex injuries, an early anatomic (open) reduction and stable (internal) fixation can minimize the percentage of long-term impairment.<\/jats:p>","DOI":"10.1177\/107110070102200506","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T01:18:29Z","timestamp":1484270309000},"page":"392-398","source":"Crossref","is-referenced-by-count":235,"title":["Fractures and Fracture Dislocations of the Midfoot: Occurrence, Causes and Long-term Results"],"prefix":"10.1177","volume":"22","author":[{"given":"Martinus","family":"Richter","sequence":"first","affiliation":[{"name":"Trauma Department, Hannover Medical School, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burkhard","family":"Wippermann","sequence":"additional","affiliation":[{"name":"Trauma Department, Hannover Medical School, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Krettek","sequence":"additional","affiliation":[{"name":"Trauma Department, Hannover Medical School, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanns Eberhard","family":"Schratt","sequence":"additional","affiliation":[{"name":"Trauma Department, Hannover Medical School, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Hufner","sequence":"additional","affiliation":[{"name":"Trauma Department, Hannover Medical School, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajo","family":"Thermann","sequence":"additional","affiliation":[{"name":"ATOS, Center for Knee & Foot Surgery, Heidelberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2001,5,1]]},"reference":[{"key":"bibr1-107110070102200506","first-page":"431","volume":"93","author":"Amon K.","year":"1990","journal-title":"Klinik, Pathomechanismus und Therapiekonzept einer sehr seltenen Fussverletzung. 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