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Tytuł pozycji:

Surgical Trends in the Treatment of Lisfranc Injuries Using the American Board of Orthopaedic Surgery (ABOS) Certification Examination Database.

Tytuł:
Surgical Trends in the Treatment of Lisfranc Injuries Using the American Board of Orthopaedic Surgery (ABOS) Certification Examination Database.
Autorzy:
Raja A; TRIA Research Institute, Bloomington, Minnesota.
Pena F; TRIA Research Institute, Bloomington, Minnesota.
Źródło:
Foot & ankle specialist [Foot Ankle Spec] 2020 Oct; Vol. 13 (5), pp. 392-396. Date of Electronic Publication: 2019 Jul 31.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Original Publication: Thousand Oaks, CA : Sage Publications
MeSH Terms:
Arthrodesis*
Data Analysis*
Fracture Fixation, Internal*/statistics & numerical data
Open Fracture Reduction*/statistics & numerical data
Orthopedic Surgeons*/statistics & numerical data
Practice Patterns, Physicians'*
Databases as Topic/*standards
Foot Joints/*injuries
Foot Joints/*surgery
Orthopedic Procedures/*methods
Orthopedic Procedures/*trends
Orthopedics/*organization & administration
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Americas ; Child ; Female ; Humans ; Intra-Articular Fractures/surgery ; Ligaments, Articular/injuries ; Ligaments, Articular/surgery ; Male ; Middle Aged ; Young Adult
Contributed Indexing:
Keywords: ABOS; Lisfranc; ORIF; arthrodesis; practices
Entry Date(s):
Date Created: 20190801 Date Completed: 20200929 Latest Revision: 20200929
Update Code:
20240105
DOI:
10.1177/1938640019863437
PMID:
31364403
Czasopismo naukowe
Background: Lisfranc joint complex injury may be managed surgically by either an open reduction internal fixation (ORIF) or primary arthrodesis (PA). Published literature advocates PA for purely ligamentous injuries, but many surgeons in actuality refrain from performing PA. The purpose of the study is to assess surgeon practices and behavior in managing Lisfranc injuries due to the influence of peer reviewed literature with the help of the American Board of Orthopaedic Surgery (ABOS) database. Methods: Data were requested from the ABOS database of cases on Lisfranc joint injury requiring either an ORIF or PA from examination year 2004 to 2017 for both part II and maintenance of certification (MOC) examinees. Cases with ICD-9 code 838.03 only were considered as primarily ligamentous and all fracture codes classified under 825 with 838.03 were considered as fracture dislocation. The number of PA and ORIF were recorded for both types of examinees and specific type of Lisfranc joint injury (primarily ligamentous and fracture dislocation). Results: A total of 2010 cases of Lisfranc joint injuries managed surgically by 1230 board-eligible orthopaedic surgeons. Open fractures (93) and non-/malunion fractures were excluded. A total of 1016 primarily ligamentous and 474 fracture dislocation cases were performed by part II examinees. Overall, 288 primarily ligamentous and 139 fracture dislocation cases were performed by MOC examinees. A total of 27 PA were performed in the primarily ligamentous and 17 were performed on fracture dislocation cases. Conclusion: ORIF is commonly performed by newly trained and senior orthopaedic surgeons. There was no change in the number of PA performed on primarily ligamentous injuries in spite of the published literature. Levels of Evidence: Not applicable.

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