SURGICAL MANAGEMENT OF LISFRANC INJURIES
Hakan KINIK, Bülent ERDEMLİ, İlksen GÜRKAN, Murat ARIKAN, Ertan MERGEN
Ankara University İbn-i Sina Hospital, Department of Orthopaedics and Traumatology, Ankara, Turkey
Keywords: Lisfranc Injuries, Tarsometatarsal Fracture Dislocation, Surgical.
Abstract
Introduction: Lisfranc injuries were found to be not so uncommon.
Patients and methods: We have evaluated the results of 11 patients with Lisfranc injuries that had been treated with open reduction and internal fixation between January 1988 and December 1997. There were 3 female and 8 male patients with a mean age of 31.2 years. Injuries resulted from motor vehicular accidents in 8 patients, falls in 2 patients and a direct crushing injury in one. None of the injuries open but one. All were treated with open reduction and internal fixation with screws and/or pins.
Results: Eight of the patients were graded functionally as good while 2 were fair and 1 was poor.
Conclusions: Fracture-dislocations of the tarsometatarsal joint (Lisfranc joint), are rare injuries which can often be missed. Since they are associated with a high functional disability, early diagnosis, anatomical reduction and stable fixation is essential for a good outcome.