Tzatzairis T, Firth G, Parker L. Adolescent Lisfranc injury treated with TightRopeTM: A case report and review of literature. World J Orthop 2019; 10(2): 115-122 [PMID: 30788228 DOI: 10.5312/wjo.v10.i2.115]
Corresponding Author of This Article
Themistoklis Tzatzairis, MBBS, MSc, Doctor, Senior Clinical Fellow in Paediatric Orthopaedic, Royal London Hospital, Paediatric Orthopaedic Department, Barts NHS Trust, St Augustine with St Philip’s Church, Newark Street, London E1 2AA, Whitechapel, United Kingdom. themistoklis.tzatzairis@bartshealth.nhs.uk
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Feb 18, 2019; 10(2): 115-122 Published online Feb 18, 2019. doi: 10.5312/wjo.v10.i2.115
Adolescent Lisfranc injury treated with TightRopeTM: A case report and review of literature
Themistoklis Tzatzairis, Gregory Firth, Lee Parker
Themistoklis Tzatzairis, Gregory Firth, Royal London Hospital, Paediatric Orthopaedic Department, Barts NHS Trust, London E1 2AA, Whitechapel, United Kingdom
Lee Parker, Royal London Hospital, Foot and Ankle Orthopaedic department, Barts NHS Trust, London E13 8SL, United Kingdom
Author contributions: All authors have equally contributed in this article; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2013), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Themistoklis Tzatzairis, MBBS, MSc, Doctor, Senior Clinical Fellow in Paediatric Orthopaedic, Royal London Hospital, Paediatric Orthopaedic Department, Barts NHS Trust, St Augustine with St Philip’s Church, Newark Street, London E1 2AA, Whitechapel, United Kingdom. themistoklis.tzatzairis@bartshealth.nhs.uk
Telephone: +44-792-3301467
Received: November 27, 2018 Peer-review started: November 27, 2018 First decision: December 30, 2018 Revised: January 14, 2019 Accepted: January 26, 2019 Article in press: January 26, 2019 Published online: February 18, 2019 Processing time: 83 Days and 17.8 Hours
Abstract
BACKGROUND
Lisfranc injuries are rare and can be easily missed. This injury is extremely rare in children, with limited published data. Different treatment options have been described; one of the options in adults is the “mini” TightRope™ Syndesmosis Device that provides non-rigid fixation with impressive results. However, there is no reference regarding the use of this device in children.
CASE SUMMARY
We describe the case of an 11-year-old girl who sustained a Lisfranc injury of her right foot that was initially missed in the Accident and Emergency department of her local hospital. This case was a ligamentous/periosteal sleeve avulsion type of Lisfranc injury and a percutaneous technique using the “mini” TightRope™ syndesmosis device was used. Clinical and radiological results were excellent at final follow up.
CONCLUSION
The “mini” TightRope™ syndesmosis device is a promising method of fixation for children with certain Lisfranc injuries. This method has many advantages, including the non-rigid type of the fixation and no need for subsequent metalwork removal.
Core tip: We describe the case of an 11-year-old girl who sustained a ligamentous/periosteal sleeve avulsion type of Lisfranc injury of her right foot that was initially missed in a local Accident and Emergency department. The “mini” TightRope™ syndesmosis device, can be used safely and effectively in children with certain Lisfranc injuries, based on experience in the adult literature.
