Fractures and dislocations of the lisfranc tarso-metatarsal articulation: outcome related to timing and choice of treatment

Acta Orthop Belg. 2019 Jun;85(2):150-158.

Abstract

A Lisfranc injury is when one or more of the metatarsals are displaced from the tarsus. The term is more commonly used to describe an injury to the midfoot, centred on the 2nd tarso-metatarsal joint. These fractures are sometimes easily overlooked, especially if they are part of a polytrauma. They are often difficult to diagnose and treat, but if they go undetected and are not properly treated, they can cause long-term or chronic disability. Our team reviewed a group of 71 patients with a Lisfranc fracture dislocation. The lesions were classified according to Meyerson classification. All the patients were re-evaluated 3 years after their surgeries by clinical examination, Ankle-Hindfoot Scale AOFAS questionnaire, X-rays and baropodometric analysis. This review outlines the treatment outcome of this injury, taking into consideration the timing of diagnosis.

MeSH terms

  • Adult
  • Aged
  • Female
  • Foot Injuries / diagnostic imaging
  • Foot Injuries / surgery*
  • Fracture Fixation
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / surgery*
  • Humans
  • Joint Dislocations / diagnostic imaging
  • Joint Dislocations / surgery*
  • Male
  • Metatarsal Bones / diagnostic imaging
  • Metatarsal Bones / injuries*
  • Metatarsal Bones / surgery
  • Middle Aged
  • Radiography
  • Retrospective Studies
  • Tarsal Bones / diagnostic imaging
  • Tarsal Bones / injuries*
  • Tarsal Bones / surgery
  • Tarsal Joints / diagnostic imaging
  • Tarsal Joints / surgery*
  • Treatment Outcome
  • Young Adult