Lisfranc injuries are commonly asked about in FRCS Orthopaedic trauma vivas. The term "Lisfranc injury" strictly refers to an injury where one or more of the metatarsals are displaced from the tarsus. The term is more commonly used to describe an injury to the midfoot centred on the 2nd tarsometatarsal joint. The injury is named after Jacques Lisfranc de St. Martin (1790-1847), a French surgeon and gynaecologist who first described the injury in 1815. 'Lisfranc injury' encompasses a broad spectrum of injuries, which can be purely ligamentous or involve the osseous and articular structures. They are often difficult to diagnose and treat, but if not detected and appropriately managed they can cause long-term disability. This review outlines the anatomy, epidemiology, classification, investigation and current evidence on management of this injury.
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The Mid- and Long-Term Consequences After Surgically Treated Lisfranc Injuries: A Case Series and Review of the Literature.
Cureus
November 2024
Departement of Orthopaedic Surgery and Traumatology, HFR Fribourg, University of Fribourg, Fribourg, CHE.
Background Long-term follow-up data are difficult to collect, especially in uncommon foot injuries. Therefore, it is rare to find publications that include patient-reported outcomes. Therefore, a case series and systematic review are provided to evaluate mid- and long-term outcomes.
View Article and Find Full Text PDFPrimary arthrodesis versus open reduction internal fixation for acute Lisfranc injuries: a systematic review and meta-analysis.
Arch Orthop Trauma Surg
December 2024
Med City UNT/TCU Orthopaedic Surgery Residency Program, 3535 S Interstate 35, Denton, TX, 76210, USA.
Introduction: The presence of a Lisfranc injury alone is considered a surgical indication in most patients. Indications for primary arthrodesis (PA) versus open reduction internal fixation (ORIF), however, is a topic of debate among surgeons. Conflicting data exists as to which treatment modality leads to improved patient-reported outcome measures (PROMs), reoperations, and complications.
View Article and Find Full Text PDFSurvey of Utilization of Weightbearing Computed Tomography Within AOFAS Membership.
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Division of Orthopedic Foot and Ankle Surgery, Department of Orthopaedic Surgery, Duke University, Durham, North Carolina.
Background: Weightbearing computed tomography (WBCT) has been increasingly employed to evaluate and treat patients with varied pathologies such as progressive collapsing foot deformity (PCFD), posttraumatic deformity, hallux valgus, ankle arthritis, Charcot arthropathy, lisfranc, and syndesmosis injuries. However, little is known regarding its overall availability to foot and ankle providers and how it is being used in clinical practice. The goal of this study is to assess the utilization of WBCT among AOFAS members, identify the indications for use in clinical practice and potential barriers for implementation.
View Article and Find Full Text PDF[Efficacy comparison of dorsal approach and medical approach in treating Lisfranc injury].
Zhonghua Yi Xue Za Zhi
December 2024
Department of Orthopedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai200025, China.
To compare the efficacy of dorsal approach and medial approach in the treatment of Lisfranc injury. A retrospective cohort study was conducted to analyze the clinical data of 43 patients with closed Lisfranc injuries admitted to Tongji Hospital of Tongji University from January 2017 to December 2021. The surgical approach were open reduction and internal fixation or metatarsal cuneiform joint fusion, with 23 cases using the dorsal approach and 20 cases using the medial approach.
View Article and Find Full Text PDFEpidemiology, classification, and treatment of 2084 Lisfranc injuries: An observational study from the Swedish fracture register.
Injury
November 2024
Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
Background: Lisfranc injuries are potentially severe but relatively uncommon. Limited epidemiological data regarding Lisfranc injuries of the midfoot are available. This study aimed to describe the injury's epidemiology, injury mechanism, and primary treatment.
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