Return to Play After Low-Energy Lisfranc Injuries in High-Demand Individuals: A Systematic Review and Meta-Analysis of Athletes and Active Military Personnel

• Type of Material: Article
• Authors: Ahmed Khalil Attia, Hamad Medical Corporation, Qatar; Karim Mahmoud, Emory University; Abduljabbar Alhammoud, Hamad Medical Corporation, Qatar; Pieter d'Hooghe, Aspetar Orthopaedic and Sports Medicine Hospital Qatar; Daniel Farber, University of Pennsylvania Medicine
• Language: English
• Date: 2021-03-08
• Publisher: SAGE Publications
• Publication Version: Final Published Version
• Copyright Statement: © The Author(s) 2021
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1177/2325967120988158
• Title of Journal or Parent Work: Orthopaedic Journal of Sports Medicine
• Volume: 9
• Issue: 3
• Grant/Funding Information: K.M. has received grant support from Arthrex. D.F. has received grant support from Arthrex and Wright Medical, research support and consulting fees from Treace Medical, and education payments from Liberty Surgical.
• Keywords: athletes; primary arthrodesis; return to play; TMT dislocation; military; Lisfranc; midfoot sprain; ORIF
• Research Categories: Health Sciences, Medicine and Surgery

Abstract

Background: Although studies are available on high-energy Lisfranc injuries, the evidence for increasingly reported low-energy Lisfranc injuries in active individuals, including athletes and military personnel, remains scarce and mostly retrospective. Purpose: This meta-analysis aimed to review the return-to-play (RTP) and return-to-duty (RTD) rates with regard to the anatomic type and the management of low-energy Lisfranc injuries in a high-demand, active population. Study Design: Systematic review; Level of evidence, 4. Methods: Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, we searched the MEDLINE (PubMed), EMBASE, Google Scholar, and Cochrane databases through June 2019 to identify studies on low-energy Lisfranc injuries in athletes and military personnel. The primary outcomes were RTP/RTD rates and time to RTP/RTD, and the secondary outcomes were time missed from practice, games missed, time to full recovery, midfoot arthritis rate, and reoperation rate.