Atif Ahmed1, Edward Westrick2. 1. Rothman Institute, 925 Chestnut St, 5th Floor, Philadelphia, PA, 19107, USA. ahmedati08@gmail.com. 2. Allegheny General Hospital, 1307 Federal Street, Pittsburgh, PA, 15212, USA.
Abstract
PURPOSE OF REVIEW: To outline the classic and recent literature of midfoot fractures and dislocations. RECENT FINDINGS: There has been an evolution of implant technology to include mini-fragment fixation, suture fixation, and staples. Their efficacy is still being elucidated in the literature. Also, there has been a recent push for primary fusion, which we will discuss. Open reduction internal fixation of the midfoot remains to be the gold standard treatment, to which all other treatments are compared. It remains to be seen if adjunct fixation techniques are efficacious enough to provide a good result. Further study is needed to determine which patients are likely to progress to debilitating arthrosis and require fusion.
PURPOSE OF REVIEW: To outline the classic and recent literature of midfoot fractures and dislocations. RECENT FINDINGS: There has been an evolution of implant technology to include mini-fragment fixation, suture fixation, and staples. Their efficacy is still being elucidated in the literature. Also, there has been a recent push for primary fusion, which we will discuss. Open reduction internal fixation of the midfoot remains to be the gold standard treatment, to which all other treatments are compared. It remains to be seen if adjunct fixation techniques are efficacious enough to provide a good result. Further study is needed to determine which patients are likely to progress to debilitating arthrosis and require fusion.
Authors: J S Torg; H Pavlov; L H Cooley; M H Bryant; S P Arnoczky; J Bergfeld; L Y Hunter Journal: J Bone Joint Surg Am Date: 1982-06 Impact factor: 5.284
Authors: Steven M Raikin; Ilan Elias; Sachin Dheer; Marcus P Besser; William B Morrison; Adam C Zoga Journal: J Bone Joint Surg Am Date: 2009-04 Impact factor: 5.284