Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Freer Test for an Intraoperative Evaluation of a Lisfranc Joint Injury: A Technical Report

리스프랑 관절 손상 수술 중 시행하는 프리어 검사법

  • Young, Ki Won (Department of Foot and Ankle Surgery, Nowon Eulji Medical Center, Eulji University) ;
  • Lee, Hong Seop (Department of Foot and Ankle Surgery, Nowon Eulji Medical Center, Eulji University) ;
  • Park, Seongcheol (Department of Foot and Ankle Surgery, Nowon Eulji Medical Center, Eulji University) ;
  • Jeong, Gu Min (Department of Foot and Ankle Surgery, Nowon Eulji Medical Center, Eulji University)
  • 양기원 (노원을지대학교병원 족부족관절 정형외과) ;
  • 이홍섭 (노원을지대학교병원 족부족관절 정형외과) ;
  • 박성철 (노원을지대학교병원 족부족관절 정형외과) ;
  • 정구민 (노원을지대학교병원 족부족관절 정형외과)
  • Received : 2020.07.03
  • Accepted : 2020.09.22
  • Published : 2020.12.15
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Abstract

Failure to achieve stable fixation during surgery for a Lisfranc joint injury leads to subtle instability that causes dysfunction and posttraumatic osteoarthritis. Therefore, it is important to check for appropriate fixation during surgery. This paper reports a test that evaluates the joint instability dynamically during the open reduction of the Lisfranc joint and checks the stability after fixation. a Freer elevator was inserted into the interosseous area between the medial cuneiform and second metatarsal base, and a twisting force was applied to evaluate the dynamic instability of the Lisfranc joint. After fixation of the Lisfranc joint, the stability of the fixation could be tested by trying this maneuver with the Freer elevator. Overall, the Freer test can be considered a valuable test in open surgery for a Lisfranc joint injury.

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References

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