Foot (Edinburgh, Scotland) · 2026
Functional outcomes and complications following surgical management of neglected Lisfranc injuries: A systematic review and meta-analysis.
СтатьяСистематический обзорМетаанализНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Sharma Siddhartha, Sen Chander, Kumar Amit, Ahluwalia Shubham, Aggarwal Sameer, Rammelt Stefan, Dhillon Mandeep
Аннотация
BACKGROUND: Lisfranc injuries are frequently overlooked or underestimated. Treatment of neglected injuries is challenging, and the optimal surgical strategy in delayed presentations remains unclear.
METHODS: A PRISMA-compliant systematic review and meta-analysis were performed. Observational studies reporting surgical outcomes of corrective surgery for neglected Lisfranc injuries were included. Random-effects meta-analyses were conducted for AOFAS scores, complication rates, and return-to-work proportions. Meta-regression evaluated the influence of injury energy, surgical procedure, and treatment delay.
RESULTS: Ten studies with 262 cases were included. Surgery was associated with a significant improvement in AOFAS scores. Patients with high-energy injuries demonstrated lower preoperative scores but greater absolute postoperative improvement, while postoperative scores remained comparable. The choice of surgical procedure and delay were not associated with functional improvement. The pooled complication rate was 34%, with higher rates observed in high-energy injuries and with longer delays.
CONCLUSIONS: In neglected Lisfranc injuries, functional recovery reflects baseline severity rather than timing alone. Surgical decision-making should prioritize joint viability and reducibility over delay.
METHODS: A PRISMA-compliant systematic review and meta-analysis were performed. Observational studies reporting surgical outcomes of corrective surgery for neglected Lisfranc injuries were included. Random-effects meta-analyses were conducted for AOFAS scores, complication rates, and return-to-work proportions. Meta-regression evaluated the influence of injury energy, surgical procedure, and treatment delay.
RESULTS: Ten studies with 262 cases were included. Surgery was associated with a significant improvement in AOFAS scores. Patients with high-energy injuries demonstrated lower preoperative scores but greater absolute postoperative improvement, while postoperative scores remained comparable. The choice of surgical procedure and delay were not associated with functional improvement. The pooled complication rate was 34%, with higher rates observed in high-energy injuries and with longer delays.
CONCLUSIONS: In neglected Lisfranc injuries, functional recovery reflects baseline severity rather than timing alone. Surgical decision-making should prioritize joint viability and reducibility over delay.