Lisfranc injuries result when the bones or ligaments that support the midfoot are torn, and the classifications of these injuries are based on the coronal displacement of the metatarsals. On the saggital plane, the first metatarsal is usually dorsally dislocated due to dorsal ligament weakness. We present a case report of a 29-year-old woman who sustained a Lisfranc injury of her right foot with plantar subluxation of the first metatarsal, which was treated with open reduction and internal fixation of the first metatarsal and fusion of the second metatarsal.
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Article Synopsis
- The study compares two surgical techniques for treating acute Lisfranc fracture-dislocation involving a second metatarsal base fracture: isolated Lisfranc screw fixation and combined Lisfranc joint fixation with miniscrew fixation.
- Results showed that the isolated Lisfranc screw fixation group had a significantly greater postoperative C1-M2 distance and higher rates of residual diastasis than the combined fixation group.
- Although both groups had similar postoperative daily living ability scores, the sports performance scores were significantly better in the group that received combined fixation, suggesting it might be the superior technique.
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