Comparison of flexible fixation and screw fixation for isolated Lisfranc ligament injuries: A protocol for a meta-analysis of comparative studies. Issue 42 (21st October 2022)

• Record Type: Journal Article
• Authors: Guo, Wenxuan; Chen, Wenhuan; Yu, Jinsheng; Wu, Fan; Qian, Wenqiang; Zhuang, Siyuan; Tian, Kun; Zhuang, Rujie; Pan, Yu
• Is Part Of: Medicine. Volume 101:Issue 42(2022)
• Page Start: e31233
• Publication Date: 2022-10-21
• Subjects: flexible fixation -- Lisfranc injury -- protocol -- screw fixation; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000031233
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract : Background: The frequency of isolated Lisfranc ligament (ILL) injuries has been increasing recently with the increase in low-energy trauma resulting from sports injuries. For ILL injuries, the optimal method of fixation still remains controversial. The traditional fixation method is achieved by trans-articular screws, but recently, dorsal bridge plates and suture button (SB) fixation have become alternatives. Some biomechanical studies have showed that SB fixation can provide adequate strength compared to trans-articular screws. Therefore, a meta-analysis is imperative to provide evidence on whether flexible fixation is comparable to screw fixation for treatment of ILL injuries. Methods: We will conduct a comprehensive literature search in PubMed, Cochrane Library, EMBASE and Web of Science databases and for comparative studies. We will apply the risk-of-bias tool of the Cochrane Collaboration for Randomized Controlled Trials to assess the methodological quality. Risk-of-Bias Assessment Tool for Non-randomized Studies was used to evaluate the quality of comparative studies. Statistical analysis will be conducted using RevMan 5.4 software (Cochrane Collaboration, London, England). Results: This systematic review will evaluate the functional outcomes and radiographic results of flexible fixation for treatment of ILL injuries. Conclusion: The conclusion of this study will provide evidence for judging whether flexible fixation is superior to screw fixation for treatment of ILL injuries.