Papers by El houssine Kasmaoui
Acta orthopaedica Belgica, 2003
The authors report a case of concomitant plantar Lisfranc dislocation and plantar metatarsophalan... more The authors report a case of concomitant plantar Lisfranc dislocation and plantar metatarsophalangeal dislocation of the hallux. This is the second case of floating metatarsal described in the literature. When examining patients with Lisfranc joint injuries, one should explore carefully the metatarsophalangeal joints. It is also imperative to adapt the order of reductions to the presumed tension on the plantar fascia. Open reduction on the proximal side and closed reduction on the distal side, in addition to internal fixation proximally and distally, gave good results in this case.
Foot and Ankle Surgery, 2005
Lisfranc fracture-dislocation is rare. The authors report a retrospective series of 17 cases mana... more Lisfranc fracture-dislocation is rare. The authors report a retrospective series of 17 cases managed by a single surgeon between 1990 and 1998. The series comprised 12 male (71%) and five female patients, aged between 11 and 62 years (mean ageZ33.4 years). Etiology was predominantly road accidents (64%). On Lerat classification, 12 lesions were homolateral and five divergent. Seventy eight percent of the patients had other associated lesions and 53% were polytraumatised. Fourteen patients were treated by pinning: percutaneous in six cases and open in eight; the other three patients were seen at a late stage and underwent Lisfranc joint realignment arthrodesis. One patient died from severe cranial trauma; 12 were followed up for between 1 and 7 years (mean follow-upZ4.5 years). The eight patients managed by open or closed K-wire fixation and who were followed up had a mean midfoot Kitaoka score of 78/100: five results were good or excellent, two fair and one poor. Only 40% of the X-ray checks were strictly normal, the others disclosing joint alterations. The three cases managed by realignment arthrodesis showed union at 4 months' follow-up, with a mean Kitaoka score of 88.3/100 (2 excellent and one fair result).
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Papers by El houssine Kasmaoui