Lisfranc Injury

This is a fracture/injury of the ligaments and bones in the middle part of the foot. This occurs at the level of the metatarsal bones of the forefoot as they connect to the cuneiform bones of the midfoot. Torn ligaments, broken bones can occur during this injury also, it can involve more than one joint.

Lisfranc Injury
Lisfranc Injury

Causes 

-Twisting injury

-Fall from height

-Crush injury

-Sports injury

-Automobile accident

-Associated with ankle sprain/fractures

Symptoms

-Tenderness at the midfoot

-Inability to walk

-Swelling/Bruising/Blistering midfoot

-Deformity that increases with walking

-Open fracture

 Treatment 

X-rays/CT/MRI scans may be performed to visualize the fractures and determine the mechanism of injury. This allows the surgeon to come up with a treatment plan

Conservative treatment

This is usually reserved for non-displaced stable fracture patterns with no subluxation/ligamentous injury. Conservative care includes Rest, Ice, Compression, elevation, Below the knee cast, and non-weight bearing to allow for bone healing. The cast and compression may also be done to allow for swelling to go down in preparation for surgical intervention. 

Surgical treatment

For displaced fractures with ligamentous injury, surgical repair is warranted. Most lisfranc fractures are treated with ORIF. This allows for the ligament to heal. Primary open reduction internal fixation vs Fusion will depend on the extent of the injury. 

Post-op Protocol

NWB for 6 weeks in cast/boot. Then transition to regular shoe gear

Lisfranc Injury Overview

This surgery fixes an unstable break in your ankle. The break could be in the small bone of your lower leg, called the “fibula” or the larger bone, called the “tibia.” Sometimes, they’re both broken. Your surgeon will stabilize your bones so your ankle can heal.

Surgical Correction Video Lisfranc Fracture

This surgery fixes an unstable break in your ankle. The break could be in the small bone of your lower leg, called the “fibula” or the larger bone, called the “tibia.” Sometimes, they’re both broken. Your surgeon will stabilize your bones so your ankle can heal.