Management of Lisfranc Injuries: A Critical Analysis Review

Thomas H Carter, Nicholas Heinz, Andrew D Duckworth, Timothy O White, Anish K Amin

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

»: There is a spectrum of midtarsal injuries, ranging from mild midfoot sprains to complex Lisfranc fracture-dislocations.

»: Use of appropriate imaging can reduce patient morbidity, by reducing the number of missed diagnoses and, conversely, avoiding overtreatment. Weight-bearing radiographs are of great value when investigating the so-called subtle Lisfranc injury.

»: Regardless of the operative strategy, anatomical reduction and stable fixation is a prerequisite for a satisfactory outcome in the management of displaced injuries.

»: Fixation device removal is less frequently reported after primary arthrodesis compared with open reduction and internal fixation based on 6 published meta-analyses. However, the indications for further surgery are often unclear, and the evidence of the included studies is of typically low quality. Further high-quality prospective randomized trials with robust cost-effectiveness analyses are required in this area.

»: We have proposed an investigation and treatment algorithm based on the current literature and clinical experience of our trauma center.

Original languageEnglish
Article numbere22.00239
JournalJBJS Reviews
Volume11
Issue number4
DOIs
Publication statusPublished - 1 Apr 2023

Keywords / Materials (for Non-textual outputs)

  • Humans
  • Fractures, Bone/diagnostic imaging
  • Prospective Studies
  • Fracture Fixation, Internal/methods
  • Open Fracture Reduction/methods
  • Radiography

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