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.
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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