Injuries of the Lisfranc joint

ABSTRACT

Twenty-two cases with 23 tarsometatarsal fracture dislocation were treated and followed up for an average of 20 months. Fourteen fractures achieved good results, six achieved fair results and three achieved poor results. It was found that anatomical reduction is mandatory for satisfactory results whatever the method of treatment adopted. Redisplacement is a common sequel of unstable injuries. In this series, it occurred in seven fractures due to early removal of the Kirschner wire, subsidence of edema after closed reduction without Kirschner wire fixation or failure to achieve anatomical reduction due to severe comminution. Not all cases of post-traumatic degenerative arthritis were symptomatic; 6 out of 14 feet with degenerative arthritis in this series were symptomatic