Long-Term Patient-Reported Outcomes Following Surgical Fixation of Lisfranc Injuries: A Retrospective Analysis | ||
| The Egyptian Orthopaedic Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 10 September 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/eoj.2025.401397.1059 | ||
| Authors | ||
| Islam Sarhan1; Muhammad Ahsan* 2; Neil Ashwood3; Mohamed Nagy4 | ||
| 1Lecturer of Trauma and Orthopaedics,Faculty of Medicine , Alexandria University ,Egypt. | ||
| 2Trauma and Orthopaedics, University Hospitals Derby and Burton NHS Foundation Trust, United Kingdom | ||
| 3Professor of Orthopaedics, Wolverhampton University , UK. | ||
| 4Lecturer of Trauma and Orthopaedics Faculty of Medicine , Cairo University,Egypt | ||
| Abstract | ||
| Background: Lisfranc injuries, although rare, can lead to significant long-term disability if not properly managed. Accurate assessment of patient-reported outcomes is essential to guide treatment strategies and evaluate recovery. This study used several validated patient-reported outcome measures (PROMs) to evaluate long-term outcomes after surgically fixing Lisfranc injury. Methods: This retrospective study included patients treated for unstable Lisfranc injuries between 2010 and 2021. A total of 20 patients who underwent surgical fixation were evaluated using the Foot Function Index (FFI), Manchester-Oxford Foot Questionnaire (MOXFQ), and the EQ-5D-5L visual analogue scale (VAS). Statistical analysis included independent-sample t-tests and Pearson correlation to assess differences and associations between outcomes, age, gender, and follow-up duration. Results: The study cohort comprised 13 females and 7 males with a mean age of 48.95 years and an average follow-up duration of 12.3 months. Mean FFI score was 34.50, MOXFQ was 34.90, and EQ-5D-5L VAS was 63.70. No statistically significant differences were found in PROMs based on gender or age. Additionally, no significant correlations were observed between PROMs and duration of follow-up or patient age, suggesting consistent outcomes across subgroups. Conclusion: Surgical fixation of Lisfranc injuries is associated with moderate functional recovery as indicated by PROMs. Gender, age, and follow-up duration did not significantly impact reported outcomes. The use of multiple PROMs provides a comprehensive understanding of patient recovery and supports their integration into routine postoperative assessment. | ||
| Keywords | ||
| Lisfranc injury; patient-reported outcome measures; surgical fixation; long-term outcomes | ||
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