Management of Lisfranc Injuries: A Critical Analysis Review

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

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.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Fracture Fixation, Internal / methods
  • Fractures, Bone* / diagnostic imaging
  • Fractures, Bone* / surgery
  • Humans
  • Open Fracture Reduction / methods
  • Prospective Studies
  • Radiography