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


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.


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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