Subtle Lisfranc Injuries: Fix It, Fuse It, or Bridge It?

Foot Ankle Clin. 2020 Dec;25(4):711-726. doi: 10.1016/j.fcl.2020.08.014. Epub 2020 Oct 3.


The management of Lisfranc injuries is challenging considering the broad spectrum of energy involved and highly variable clinical presentation. Despite the advances in surgical techniques, subtle Lisfranc injuries can lead to chronic pain and permanent disability. Surgical treatment is mandatory for all the unstable injuries; however, the best surgical technique remains controversial. The most predictive factor for a successful outcome is the maintenance of anatomic alignment; therefore, the selection of the appropriate surgical technique is of paramount importance. This article reviews the current treatment options and describes the selection of the surgical technique based on the different clinical presentations.

Keywords: Low-energy Lisfranc; Subtle Lisfranc injuries; Tarsometatarsal joint injuries.

Publication types

  • Review

MeSH terms

  • Foot Injuries* / diagnostic imaging
  • Foot Injuries* / surgery
  • Fractures, Bone* / diagnostic imaging
  • Fractures, Bone* / surgery
  • Humans