Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 21, Issue 6, pp 1434–1446

Lisfranc injuries: an update

Authors

    • Department of Trauma and OrthopaedicsChelsea and Westminster Hospital
    • Fortius Clinic
  • Peter F. Rosenfeld
    • Fortius Clinic
    • Department of Trauma and OrthopaedicsSt Mary’s Hospital
  • James D. F. Calder
    • Department of Trauma and OrthopaedicsChelsea and Westminster Hospital
    • Fortius Clinic
Ankle

DOI: 10.1007/s00167-013-2491-2

Cite this article as:
Eleftheriou, K.I., Rosenfeld, P.F. & Calder, J.D.F. Knee Surg Sports Traumatol Arthrosc (2013) 21: 1434. doi:10.1007/s00167-013-2491-2

Abstract

Lisfranc injuries are a spectrum of injuries to the tarsometatarsal joint complex of the midfoot. These range from subtle ligamentous sprains, often seen in athletes, to fracture dislocations seen in high-energy injuries. Accurate and early diagnosis is important to optimise treatment and minimise long-term disability, but unfortunately, this is a frequently missed injury. Undisplaced injuries have excellent outcomes with non-operative treatment. Displaced injuries have worse outcomes and require anatomical reduction and internal fixation for the best outcome. Although evidence to date supports the use of screw fixation, plate fixation may avoid further articular joint damage and may have benefits. Recent evidence supports the use of limited arthrodesis in more complex injuries.

Keywords

Lisfranc injuryMidfoot injuryMidfoot fractureMidfoot sprain

Copyright information

© Springer-Verlag Berlin Heidelberg 2013