Assessment of sensorimotor and functional differences between patients with surgically treated partially incongruent Lisfranc injuries and healthy controls: a cross-sectional study

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dc.authorid0000-0003-0552-1190
dc.authorid0009-0008-3286-2074
dc.contributor.authorIlez, Ali
dc.contributor.authorKahraman, Abdullah
dc.contributor.authorKaracam, Muhammet Ibrahim
dc.contributor.authorSahinkaya, Turker
dc.contributor.authorDemirel, Mehmet
dc.contributor.authorPolat, Gokhan
dc.contributor.authorUtlu, Defne Kaya
dc.date.accessioned2026-01-31T15:08:11Z
dc.date.available2026-01-31T15:08:11Z
dc.date.issued2025
dc.departmentİstanbul Beykent Üniversitesi
dc.description.abstractIntroduction Lisfranc injuries are relatively rare but associated with a notoriously poor prognosis despite significant advances in their surgical treatment. This study aimed to investigate changes in plantar sensation, ankle proprioception, mobility, balance, and isokinetic strength in patients treated by open reduction and internal fixation (ORIF) for partially incongruent Lisfranc injuries. Materials and methods This retrospective cross-sectional study was conducted at a tertiary care hospital. The patient group consisted of 12 patients (9 males, mean age = 39.16 +/- 13.57 years) who were treated with ORIF for a Myerson type B partially incongruent Lisfranc injury between 2020 and 2023. Measurements were conducted at an average of 20 (20-42) months post-surgery. The control group included 11 healthy participants (8 males, mean age: 37 +/- 8.69 years) with no known orthopedic conditions. Sole sensation, ankle proprioception, ankle dorsiflexion (DF) and plantarflexion (PF) muscle strength and endurance were measured with CYBEX 350 isokinetic dynamometer, along with dynamic balance, ankle mobility, and PF endurance. Results The patient group exhibited significant reductions in mid-foot plantar sensation (p = 0.019), as well as impairments in active angle replication at 7 degrees DF, 7 degrees PF, and 14 degrees PF (p = 0.049, p < 0.001, p < 0.001, respectively). Additionally, marked declines were observed in both dorsiflexion strength and endurance (p < 0.001) and plantarflexion endurance (p = 0.007). Furthermore, this group demonstrated decreased dynamic balance (p = 0.021), particularly in the anterior direction (p = 0.001), alongside diminished ankle mobility (p = 0.001) and isotonic endurance of the ankle plantar flexor muscles (p = 0.001). Conclusions Ankle mobility, balance, and muscle endurance can be limited as a result of substantial proprioceptive losses, decreased midfoot plantar sensation, and poor active angle replication following surgery for Lisfranc injury, according to this study. Emphasizing focused proprioception and balance training in post-operative rehabilitation is crucial to enhance recovery and prevent long-term complications.
dc.description.sponsorshipScientific and Technological Research Council of Turkiye (TUBITAK)
dc.description.sponsorshipOpen access funding provided by the Scientific and Technological Research Council of Turkiye (TUBITAK).The authors did not receive support from any organization for the submitted work.
dc.identifier.doi10.1007/s00402-025-05947-0
dc.identifier.issn0936-8051
dc.identifier.issn1434-3916
dc.identifier.issue1
dc.identifier.pmid40464803
dc.identifier.scopus2-s2.0-105007306814
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org./10.1007/s00402-025-05947-0
dc.identifier.urihttps://hdl.handle.net/20.500.12662/10612
dc.identifier.volume145
dc.identifier.wosWOS:001502906500002
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofArchives of Orthopaedic And Trauma Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260128
dc.subjectLisfranc injuries
dc.subjectPlantar sensation
dc.subjectAnkle proprioception
dc.subjectMobility
dc.subjectBalance
dc.subjectIsokinetic strength
dc.titleAssessment of sensorimotor and functional differences between patients with surgically treated partially incongruent Lisfranc injuries and healthy controls: a cross-sectional study
dc.typeArticle

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