{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:36:10Z","timestamp":1777613770527,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Historically, Lisfranc injuries have most commonly been managed by open reduction and internal fixation (ORIF). Over the past 2 decades, literature has suggested that arthrodesis, an alternative option, may be the superior surgical treatment. It is unclear, however, how much orthopaedic clinical practice has responded to the new evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We performed a retrospective review of the Part II Oral Examination Case List American Board of Orthopaedic Surgery (ABOS) database to identify Lisfranc injuries treated with ORIF or arthrodesis from 1999 to 2022. Cases performed by early-career orthopaedic surgeons were selected using relevant\n                      <jats:italic toggle=\"yes\">Current Procedural Terminology<\/jats:italic>\n                      ,\n                      <jats:italic toggle=\"yes\">International Classification of Diseases, Ninth<\/jats:italic>\n                      (\n                      <jats:italic toggle=\"yes\">ICD-9<\/jats:italic>\n                      ) and\n                      <jats:italic toggle=\"yes\">Tenth Revision<\/jats:italic>\n                      (\n                      <jats:italic toggle=\"yes\">ICD-10<\/jats:italic>\n                      ), codes corresponding to treatment with either arthrodesis or ORIF. Treatment trends were analyzed over time and stratified by surgeon fellowship training, patient age, and patient sex. Injury chronicity and specific timing from injury to surgery were not available.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 3068 surgically managed Lisfranc injuries were identified. Of these, 574 (18.7%) were managed with arthrodesis and 2494 (81.3%) with ORIF. The rate of arthrodesis increased over time: from 7.7% (95% CI 6.3-9.3) in 1999-2009 to 20.7% (95% CI 18.5-23.1) in 2010-2017 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.0001) and to 37.0% in 2018-2022 (95% CI 33.3-40.9) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.0001). The rate of arthrodesis was higher among cases performed by foot and ankle\u2013trained orthopaedists (30.3% vs 7.9% of all other sub-specialties), in female patients (22.4% vs 15.9% in males), and in older patients (27.8% of patients &gt;50\u2009years vs 15.4% of patients \u226450\u2009years).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although still the less utilized approach, arthrodesis for Lisfranc injuries has increased substantially among early-career orthopaedic surgeons in parallel to emerging evidence. This trend is more apparent among foot and ankle specialists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level III, therapeutic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114261433594","type":"journal-article","created":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T09:24:21Z","timestamp":1776504261000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends in Surgical Management of Lisfranc Injuries: An Analysis of American Board of Orthopaedic Surgery Part II Candidates"],"prefix":"10.1177","volume":"11","author":[{"given":"Kathryn R.","family":"Segal","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4783-5617","authenticated-orcid":false,"given":"Phillip","family":"Schmitt","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janine","family":"Molino","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Galambas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad","family":"Blankenhorn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond Y.","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The Warren Alpert Medical School of Brown University, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-025-06042-0"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718799741"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.22.00239"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602700819"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200011000-00015"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-024-05700-z"},{"issue":"3","key":"e_1_3_3_8_2","first-page":"514","article-title":"Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. 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