Results of isolated Lisfranc injuries and the effect of compensation claims

Calder, J. D. F.; Whitehouse, S. L.; Saxby, T. S.

Affiliations

¹Brisbane Foot and Ankle Centre, Level Nine, Arnold Janssen Centre, Brisbane Private Hospital, 259 Wickham Terrace, Brisbane, Queensland 4000, Australia.

²Orthopaedic Research Unit, Queensland University of Technology, Prince Charles Hospital, Rode Road, Chermside, Brisbane, Queensland 4032, Australia.

Abstract

The results of treatment of Lisfranc injuries are often unsatisfactory. This retrospective study investigated 46 patients with isolated Lisfranc injuries at a minimum of two years after surgery. Thirteen patients had a poor outcome and had to change employment, or were unable to find work as a result of this injury. The presence of a compensation claim (p = 0.02) and a delay in diagnosis of more than six months were associated with a poor outcome (p = 0.01). There was no association between poor functional outcome and age, gender, mechanism of injury or previous occupation. This study may have medico-legal implications on reporting the prognosis for such injuries, and highlights the importance of prompt diagnosis and treatment.

Links

DOI: 10.1302/0301-620X.86B4.13761

PubMed: 15174547

WoS: 000221532500009

History

Received: 2002-08-16

Accepted: 2003-09-11

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