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Stabilization of the fourth metatarsal-cuboid lateral Lisfranc injury: early results of an innovative technique using suture anchors.

Saxena A & Hofer D.
J Foot Ankle Surg. pii: S1067-2516(17)30537-9. doi: 10.1053/j.jfas.2017.08.024. [Epub ahead of print]

Abstract

This report presents an innovative surgical technique for the correction of cuboid-metatarsal subluxation at the level of the lateral Lisfranc joint. This stabilization technique reinforces the dorsal fourth tarsometatarsal ligament by incorporating sutures and anchors, establishing a more stable joint.

The data from 5 female patients undergoing stabilization using a suture anchor construct were reviewed. All 5 patients were able to resume their activities, including the adolescent athletes.

Anatomic reconstruction of the dorsal fourth tarsometatarsal ligament complex can lead to full mechanical and functional stability, which ultimately allows for a return to activity, even in highly demanding sports and athletes.

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