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Review
. 2023 Apr 4;11(4).
doi: 10.2106/JBJS.RVW.22.00239. eCollection 2023 Apr 1.

Management of Lisfranc Injuries: A Critical Analysis Review

Thomas H Carter  1 , Nicholas Heinz  1 , Andrew D Duckworth  1   2 , Timothy O White  1 , Anish K Amin  1
Affiliations
Review

Management of Lisfranc Injuries: A Critical Analysis Review

Thomas H Carter et al. JBJS Rev. .

Abstract

»: 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.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A930).

References

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    1. Chen J, Sagoo N, Panchbhavi VK. The Lisfranc injury: a literature review of anatomy, etiology, evaluation, and management. Foot Ankle Spec. 2021;14(5):458-67.
    1. Stødle AH, Hvaal KH, Enger M, Brogger H, Madsen JE, Ellingsen Husebye E. Lisfranc injuries: incidence, mechanisms of injury and predictors of instability. Foot Ankle Surg. 2020;26(5):535-40.
    1. Buchanan M, Berlet G, Lee T, Philbin T. Primary Lisfranc joint fusion posttrauma. Tech Foot Ankle Surg. 2004;3(4):216-20.
    1. Garríguez-Pérez D, Puerto-Vázquez M, Tomé Delgado JL, Galeote E, Marco F. Impact of the subtle Lisfranc injury on foot structure and function. Foot Ankle Int. 2021;42(10):1303-10.

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