Open reduction and temporary rigid internal fixation of Lisfranc fracture-dislocations

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Yuen, S. P.¹; Yung, S. W.¹; Wong, M. K.¹

Open reduction and temporary rigid internal fixation of Lisfranc fracture-dislocations

Singapore Med J. June 2001;42(6):255-258

Affiliations

¹Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Singapore 169608
Abstract and keywords

Aim: To review the results of open reduction and temporary rigid screw fixation of Lisfranc fracture-dislocations performed in Singapore General Hospital (SGH) from 1996 to 1998.

Methods: A retrospective review of 11 cases of Lisfranc injuries treated with temporary rigid internal screw fixation with a minimum follow up of six months was carried out. Radiological assessment was made at follow up to ascertain the anatomical reduction achieved and complications such as post-traumatic arthritis. In addition, the patients were evaluated with a functional assessment with relation to pain, interference to usual activities and the time to resumption of work.

Results: Anatomical reduction was achieved in all cases. None of the cases showed loss of reduction at follow up after the temporary implants were removed. No longitudinal arch collapse or other deformities were seen. All the patients had good or excellent functional outcomes.

Conclusions: Results of treatment of Lisfranc injuries are related to anatomical correction. Temporary screw fixation allows rigid internal fixation with stability to allow anatomical correction. Screws also maintain their stability longer, allowing ligamentous injuries the longer period necessary for healing. In conclusion, temporary rigid screw fixation of Lisfranc fracture maintains anatomical reduction and gives excellent functional outcomes for the patients.

Keywords: Lisfranc injuries; AO Screw fixations
Links

URL: http://www.sma.org.sg/smj/4206/4206a4.pdf

PubMed: 11547962

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2012	García-Renedo RJ, Carranza-Bencano A, Busta-Vallina B, Ortiz-Segura J, Plaza-García S, Gómez-del Álamo G. Resultados a largo plazo del tratamiento de la fractura-luxación tipo Lisfranc [Long-term results of the treatment of Lisfranc fracture dislocation]. Acta Ortop Mex. July–August 2012;26(4):235-244.
2006	Zgonis T, Roukis TS, Polyzois VD. Lisfranc fracture-dislocations: current treatment and new surgical approaches. Clin Podiatr Med Surg. 2006;23(2):303-322.
2013	Abdelgaid SM, Salah M, Abdulsalam S, Abdulmalak F. Closed reduction & percutaneous fixation of Lisfranc joints injuries: possibility, technique & results. Clin Res Foot Ankle. 2013;1(2):1000109.
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.
2009	Henning JA, Jones CB, Sietsema DL, Bohay DR, Anderson JG. Open reduction internal fixation versus primary arthrodesis for Lisfranc injuries: a prospective randomized study. Foot Ankle Int. 2009;30(10):913-922.
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.
2005	Wadsworth DJS, Eadie NT. Conservative management of subtle Lisfranc joint injury: a case report. J Orthop Sports Phys Ther. 2005;35(3):154-164.
2011	Nithyananth M, Boopalan P, Titus VTK, Sundararaj GD, Lee VN. Long-term outcome of high-energy open Lisfranc injuries: a retrospective study. J Trauma. 2011;70(3):710-716.
2016	Mangin M, Seivert V, Galliot F, Lefevre M, Piessat C, Gross J-B, Delagoutte J-P, Coudane H. Résultats des arthrorises entre le deuxième métatarsien et le cunéiforme médial dans les luxations tarsométatarsiennes: à propos de 15 cas à un recul de cinq ans [Outcome after arthrorisis of the second metatarsal’s base with the medial cuneiform after tarsometatarsal dislocations: about 15 patients in 5 years]. Méd Chir Pied. June 2016;32(2):54-60.
2011	Miswan MFM, Singh VA, Yasin NF. Outcome of surgically treated Lisfranc injury: a review of 34 cases. Ulus Travma Acil Cerrahi Derg. 2011;17(6):504-508.