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Case Reports
. 2015 Nov 18;1(9-12):88-94.
doi: 10.1016/j.tcr.2015.10.009. eCollection 2015 Dec.

Ilizarov frame delayed internal fixation of Lisfranc fracture dislocation with severe soft tissue injury: New technique

N Ahmed  1 , R Kugan  1
Affiliations
Case Reports

Ilizarov frame delayed internal fixation of Lisfranc fracture dislocation with severe soft tissue injury: New technique

N Ahmed et al. Trauma Case Rep. .

Abstract

We describe a new technique of temporary stabilisation of a divergent Lisfranc fracture dislocation of foot with severe crush injury using an Ilizarov frame. A 69-year-old man presented with severe crush injury and complete disruption of the midfoot. Examination revealed full thickness skin necrosis, haemorrhagic blisters and extensive swelling. A staged technique was used with temporary application of an Ilizarov frame followed by delayed limited internal fixation. Excellent result was achieved with restoration of medial arch, complete pain relief and good functional outcome. A staged treatment initially using an Ilizarov frame prior to limited internal fixation allows soft tissue to settle in severe crush injury.

Keywords: Crush injury; Ilizarov frame; Lisfranc.

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Figures

Photograph 1
Photograph 1
Illustrates the extent of soft tissue injury.
Fig. 1
Fig. 1
Lateral radiograph at presentation.
Fig. 2
Fig. 2
Anteroposter radiograph at presentation.
Fig. 3
Fig. 3
Illustrates well reduced TMT joints and forefoot.
Photograph 2
Photograph 2
Ilizarov foot frame with forefoot and calcaneal rings.
Fig. 4
Fig. 4
AP radiograph of foot with ORIF.
Fig. 5
Fig. 5
Oblique radiograph of ORIF.
See this image and copyright information in PMC

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