Strategies in Trauma and Limb Reconstruction

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VOLUME 12 , ISSUE 1 ( April, 2017 ) > List of Articles

CASE REPORT

An old mismanaged Lisfranc injury treated by gradual deformity correction followed by the second-stage internal fixation

Mehraj D. Tantray, Khurshid Kangoo, Asif Nazir, Muzamil Baba, Raja Rameez, Syed Tabish, Syed Shahnawaz

Keywords : Lisfranc injury, Ilizarov, Late diagnosis

Citation Information : Tantray MD, Kangoo K, Nazir A, Baba M, Rameez R, Tabish S, Shahnawaz S. An old mismanaged Lisfranc injury treated by gradual deformity correction followed by the second-stage internal fixation. 2017; 12 (1):59-62.

DOI: 10.1007/s11751-016-0273-3

License: CC BY-NC-SA 4.0

Published Online: 30-04-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The Lisfranc fracture-dislocation of the foot is uncommon and diagnosis is often missed. The Lisfranc joint involves the articulation between medial cuneiform and base of the second metatarsal and is considered a keystone to structural integrity to the midfoot. The articulation has a stabilization effect on longitudinal and transverse arches of the foot. A neglected or untreated injury to the Lisfranc joint can lead to secondary arthritis and significant morbidity and disability. We present a case of a neglected Lisfranc fracture-dislocation in a 28-year-old female patient who presented 3 months after injury. A staged treatment of distraction with an Ilizarov ring fixator followed in the second stage by the removal of ring fixator and internal fixation with K wires was performed. There was complete relief of pain and a good functional outcome at 3 months after treatment.


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  1. Sands A, Grose A (2004) Lisfranc injuries. Injury 35:S-B71-SB76
  2. Chiodo C, Myerson M (2001) Developments and advances in the diagnosis and treatment of injuries to the tarsometatarsal joint. Orthop Clin N Am 32(1):11-20
  3. Desmond EA, Chou LB (2006) Current concepts review: Lisfranc injuries. Foot Ankle Int 27(8):653-660
  4. WH Cassebaum (1963) Lisfranc fracture-dislocations. Clin Orthop Relat Res 30:116
  5. Peicha G, Labovitz J, Seibert FJ, Grechenig W, Weiglein K, Preidler F et al (2002) The anatomy of the joint as a risk factor for Lisfranc dislocation and fracture dislocation: an anatomical and radiological case control study. J Bone Jt Surg 84-B:981-985
  6. Nunley JA, Vertulllo CJ (2002) Classification, investigation, and management of midfoot sprains: Lisfranc injuries in the athlete. Am J Sports Med 30(6):871-879
  7. Trevino S, Kodros S (1995) Controversies in tarsometatarsal injuries. Orthop Clin N Am 26:229-238
  8. Goossens M, DeStoop N (1983) LisFranc's fracture dislocations: etiology, radiology, and results of treatment. A review of 20 cases. Clin Orthop Relat Res 176:154-162
  9. Leibner ED, Mattan Y, Shaoul J, Nyska M (1997) Floating metatarsal: concomitant Lisfranc fracture-dislocation and complex dislocation of the first metatarsophalangeal joint. J Trauma 42:549-552
  10. Yamamoto H, Furuya K, Muneta T, Ishibashi T (1992) Neglected Lisfranc's joint dislocation. J Orthop Trauma 6(1):129-131
  11. Sharon SM, Knudsen HA, Mann I (1977) Delayed reduction of a dislocation at Lisfranc's joint: a case report. J Foot Surg 16(4):162-166
  12. Kale DR, Khadabadi NA, Putti BB, Jatti RS (2014) One month old neglected Lisfrancs fracture dislocation treated with Wagner's external fixator and percutaneous screw fixation: a case report. J Orthop 4(2):42-46
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