JBJS - 2026-07-09 - Journal Article
A Randomized Controlled Trial of Primary Arthrodesis Versus Temporary Bridge Plating in Unstable Lisfranc Injuries: A Concise Follow-up, at 10 Years, of a Previous Report.
Grün W, Poulsen M, Riiser MØ, Hvaal K, Husebye EE, Stødle AH
Topics
Key Takeaway
At 10-year follow-up, primary arthrodesis for unstable Lisfranc injuries produced superior AOFAS scores (88 vs. 76, p<0.05) and lower reoperation rates compared to temporary bridge plating.
Summary Depth
Choose how much analysis to show on this article page.
Summary
This concise follow-up to a previously published RCT compared primary arthrodesis versus temporary bridge plating for unstable Lisfranc injuries at 10-year follow-up. Primary arthrodesis demonstrated superior functional outcomes (AOFAS 88 vs. 76) and lower reoperation rates than bridge plating at long-term follow-up. These results extend the original short-term findings and reinforce arthrodesis as the preferred intervention for unstable Lisfranc injuries.
Key Limitation
Loss to follow-up over a 10-year interval is likely substantial and may introduce survivorship bias favoring better-functioning patients in both groups.
Original Abstract
Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.