Primary Lisfranc joint fusion posttrauma

Buchanan, Matthew; Berlet, Gregory; Lee, Thomas; Philbin, Terry

Affiliations

¹Orthopedic Foot and Ankle Center; Columbus, OH

Abstract and keywords

Injuries to the tarsometatarsal articulation of the midfoot (Lisfranc joint) range from simple sprains to complete dislocations with joint comminution. Treatment goals have remained the same despite the severity of the injury: anatomic reduction and stable fixation. However, there exists a small subset of patients in whom anatomic restoration of the joint surfaces is not possible in the face of irreparable joint damage. For these patients, attempts at open reduction and internal fixation may lead to inferior results with the development of symptomatic posttraumatic arthrosis. A high percentage of these patients undergo revision surgery, including salvage arthrodesis. These disadvantages can theoretically be avoided by performing a primary arthrodesis in severe Lisfranc fracture dislocations.

Keywords: Lisfranc ORIF; Lisfranc fusion; tarsometatarsal; midfoot; fracture; dislocation

Links

Ovid: 00132587-200412000-00005

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Cited By (3)

Year	Entry
2008	Sánchez-Gómez P, Lajara-Marco F, Salinas-Gilabert JE, Lozano-Requena JA. Lisfranc fracture-dislocation: screw vs. K-wire fixation. Rev Esp Cir Ortop Traumatol. 2008;52(3):130-136.
2008	Johnson A, Hill K, Ward J, Ficke J. Anatomy of the Lisfranc ligament. Foot Ankle Spec. 2008;1(1):19-23.
2012	Zhang H, Min L, Wang G-L, Huang Q, Liu K, Liu L, Tu C, Pei F-X. Primary open reduction and internal fixation with headless compression screws in the treatment of Chinese patients with acute Lisfranc joint injuries. J Trauma Acute Care Surg. May 2012;72(5):1380-1385.