Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 21, Issue 6, pp 1434–1446 | Cite as

Lisfranc injuries: an update

  • Kyriacos I. Eleftheriou
  • Peter F. Rosenfeld
  • James D. F. Calder
Ankle

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 injury Midfoot injury Midfoot fracture Midfoot sprain 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Kyriacos I. Eleftheriou
    • 1
    • 2
  • Peter F. Rosenfeld
    • 2
    • 3
  • James D. F. Calder
    • 1
    • 2
  1. 1.Department of Trauma and OrthopaedicsChelsea and Westminster HospitalLondonUK
  2. 2.Fortius ClinicLondonUK
  3. 3.Department of Trauma and OrthopaedicsSt Mary’s HospitalLondonUK

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