[Injuries of the midfoot]

Abstract

Injuries of the midfoot are often missed and therefore underestimated. The diagnosis and primary treatment are crucial for the outcome. An accurately made diagnosis and therapy initially can anticipate the extent of post-traumatic malpositioning, arthrosis and the number of subsequent surgeries. Diagnostics should liberally include computed tomography with multiplanar reconstructions; clinically a compartment syndrome should be treated at an early stage. Surgery includes anatomical reconstruction of the relevant joints and ligamentous structures and restoration of axes and lengths of the columns of the foot. Innovations comprise intraoperative 3-D imaging and computer-assisted surgery for quality control. New methods for ligamentous injuries are transosseous suturing and endobutton techniques, which have not yet become established.