Outcome of surgically treated Lisfranc injury:​ a review of 34 cases

Miswan, Mohd Fairudz Mohd; Singh, Vivek Ajit; Yasin, Nor Faissal

Affiliations

¹Department of Orthopaedics, University Malaya Medical Center, Kuala Lumpur, Malaysia

Abstract and keywords

Background: We reviewed cases with Lisfranc injuries who presented to our center in order to study the adequacy of the treatment method and their final functional outcome.

Methods: This is a retrospective review of 34 cases diagnosed with Lisfranc injuries treated at our center from 2000 to 2006. This review is aimed to determine the demography and functional outcome of all patients with Lisfranc injury treated during this period.

Results: The injury was classified based on the "Hardcastle and Associates Classification". In our review, we found that the commonest Lisfranc injury was type B2 (41%). These injuries are mostly fixed with K-wires (76.5%). All patients assessed with Bristol Foot Score (BFS) had a good score in all categories, with a total score ranging from 16 to 25.

Conclusion: We concluded that all Lisfranc injuries, whether treated with closed or open fixation methods, demonstrated a good long-term functional outcome.

Keywords: Lisfranc injuries; functional outcome

Links

DOI: 10.5505/tjtes.2011.04809

Cited Works (13)

Year	Entry
1963	Aitken AP, Poulson D. Dislocations of the tarsometatarsal joint. J Bone Joint Surg. 1963;45A:246-260.
1963	Jeffreys TE. Lisfranc's fracture-dislocation: a clinical and experimental study of tarso-metatarsal dislocations and fracture-dislocations. J Bone Joint Surg. 1963;45B(3):546-551.
1973	Wilppula E. Tarsometatarsal fracture-dislocation: late results in 26 patients. Acta Orthop Scand. 1973;44(3):335-345.
1982	Hardcastle PH, Reschauer R, Kutscha-Lissberg E, Schoffmann W. Injuries to the tarsometatarsal joint: incidence, classification and treatment. J Bone Joint Surg. 1982;64B(3):349-356.
2006	Rajapakse B, Edwards A, Hong T. A single surgeon's experience of treatment of Lisfranc joint injuries. Injury. September 2006;37(9):914-921.
1972	Wilson DW. Injuries of the tarso-metatarsal joints: etiology, classification and results of treatment. J Bone Joint Surg. 1972;54B(4):677-686.
2001	Yuen SP, Yung SW, Wong MK. Open reduction and temporary rigid internal fixation of Lisfranc fracture-dislocations. Singapore Med J. June 2001;42(6):255-258.
2008	Gawęda K, Tarczyńska M, Modrzewski K, Turżańska K. An analysis of pathomorphic forms and diagnostic difficulties in tarso-metatarsal joint injuries. Int Orthop. October 2008;32(5):705-710.
1986	Myerson MS, Fisher RT, Burgess AR, Kenzora JE. Fracture dislocations of the tarsometatarsal joints: end results correlated with pathology and treatment. Foot Ankle. 1986;6(5):225-242.
2002	Teng AL, Pinzur MS, Lomasney L, Mahoney L, Harvey R. Functional outcome following anatomic restoration of tarsal-metatarsal fracture dislocation. Foot Ankle Int. 2002;23(10):922-926.
1971	Wiley JJ. The mechanism of tarso-metatarsal joint injuries. J Bone Joint Surg. August 1971;53B(3):474-482.
1963	Cassebaum WH. Lisfranc fracture-dislocations. Clin Orthop Relat Res. 1963;30:116-132.
2006	Talarico RH, Hamilton GA, Ford LA, Rush SM. Fracture dislocations of the tarsometatarsal joints: analysis of interrater reliability in using the modified Hardcastle classification system. J Foot Ankle Surg. 2006;45(5):300-303.

Cited By (1)

Year	Entry
2012	Lievers WB, Frimenko RE, Crandall JR, Kent RW, Park JS. Age, sex, causal and injury patterns in tarsometatarsal dislocations: a literature review of over 2000 cases. Foot. September 2012;22(3):117-124.