Freer Test for an Intraoperative Evaluation of a Lisfranc Joint Injury: A Technical Report = 리스프랑 관절 손상 수술 중 시행하는 프리어 검사법

다국어 초록 (Multilingual Abstract)

Failure to achieve stable fixation during surgery for a Lisfranc joint injury leads to subtle instability that causes dysfunction and posttraumatic osteoarthritis. Therefore, it is important to check for appropriate fixation during surgery. This paper reports a test that evaluates the joint instability dynamically during the open reduction of the Lisfranc joint and checks the stability after fixation. a Freer elevator was inserted into the interosseous area between the medial cuneiform and second metatarsal base, and a twisting force was applied to evaluate the dynamic instability of the Lisfranc joint. After fixation of the Lisfranc joint, the stability of the fixation could be tested by trying this maneuver with the Freer elevator. Overall, the Freer test can be considered a valuable test in open surgery for a Lisfranc joint injury.

참고문헌 (Reference)

1 Ly TV, "Treatment of primarily ligamentous Lisfranc joint injuries: primary arthrodesis compared with open reduction and internal fixation. A prospective, randomized study" 88 : 514-520, 2006

2 Curtis MJ, "Tarsometatarsal joint injuries in the athlete" 21 : 497-502, 1993

3 Lenczner EM, "Tarsal-metatarsal(Lisfranc)dislocation" 14 : 1012-1020, 1974

4 Faciszewski T, "Subtle injuries of the Lisfranc joint" 72 : 1519-1522, 1990

5 Cain PR, "Lisfranc’s fracture-dislocation with intercuneiform dislocation : presentation of two cases and a plan for treatment" 2 : 156-160, 1981

6 Trevino SG, "Controversies in tarsometatarsal injuries" 26 : 229-238, 1995

7 Raikin SM, "Comparison of magnetic resonance imaging with intraoperative findings" 91 : 892-899, 2009

8 Nunley JA, "Classification, investigation, and management of midfoot sprains : Lisfranc injuries in the athlete" 30 : 871-878, 2002