CME OnDemand: 2022 AOFAS Annual Meeting-Pattern of Injury in Polytrauma Compared to Single Limb Related Midfoot Fractures

Pattern of Injury in Polytrauma Compared to Single Limb Related Midfoot Fractures

Video Transcription

Video Summary

In this video, the presenter discusses the pattern of injury in polytrauma compared to single limb related midfoot fractures. They highlight that midfoot fractures in polytrauma patients are often overlooked due to their other major injuries. The management of these fractures may differ in timing and methods of intervention for polytraumatised patients. Several studies are mentioned, including one on surgical outcomes of Lisfranc injuries accompanied by multiple metatarsal fractures, one on managing high energy input fracture dislocations, and one on the incidence and outcomes of delayed foot fracture diagnosis. The presenter presents data from a retrospective study on surgically treated midfoot fracture dislocations, categorizing patients based on the mechanism and severity of injury, as well as the columns affected. Key findings include a higher frequency of motor vehicle collision-related injuries in polytrauma patients, an increase in the number of affected columns, and a higher occurrence of lateral and medial column injuries in polytrauma patients. Additionally, polytrauma patients are less likely to have pure ligamentous injuries.

Asset Subtitle

Lyndon W. Mason, MB BCh, MRCS(Eng), FRCS(TR&Orth), FRCS(Glasg), Jitendra Mangwani, MBBS, MS(Orth), FRCS(Tr&Orth), Hiro Tanaka, MD, Grace L. Airey, James Chapman, Htin Kyaw, Khalis Boksh, and Mamdouh M. Elbannan

Keywords

polytrauma

midfoot fractures

management

surgical outcomes

columns affected