Medial column instability in the Lisfranc's fracture dislocation injury

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Morris, Kevin L.¹; Giacopelli, Joseph A.¹; Granoff, David P.¹

Medial column instability in the Lisfranc's fracture dislocation injury

J Foot Surg. 1991;30(5):513-523

Affiliations

¹Department of Podiatric Surgery, Fountain Valley Regional Hospital and Medical Center, California
Abstract

The authors present a descriptive report on medial column instability with Lisfranc's fracture dislocation injuries. Subtleties of recognizing and diagnosing this injury are emphasized within a literature review. Eleven cases of tarsometatarsal injuries were reviewed over an 18-month period. Eight cases involved acute injuries, while three cases presented as delayed or misdiagnosed injuries. Due to the instability of the medial column, failure in reduction methods for this injury consistently occurred. With proper sequential placement of Kirschner wires, reduction failure is minimized. A fixation method for medial column Lisfranc's injuries with Kirschner wire placement is described.
Links

PubMed: 1783764

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2014	Oak NR, Manoli A II, Holmes JR. Longitudinal Lisfranc injury. J Surg Orthop Adv. Winter, 2014;23(4):233-236.
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2015	Lievers WB, Frimenko RE, McCullough KA, Crandall JR, Kent RW. Etiology and biomechanics of midfoot (Lisfranc) injuries in athletes. Crit Rev Biomed Eng. 2015;43(2-3):213-238.
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2010	Nery C, Réssio C, Marion Alloza JF. Neoligamentplasty for the treatment of subtle ligament lesions of the intercuneiform and tarsometatarsal joints. Tech Foot Ankle Surg. 2010;9(3):92-99.