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Lisfranc arthrodesis.

Thomas Zgonis1, Patrick Burns, Richard Gehl

  • 1Connecticut Reconstructive Foot Surgeons, LLC, 21 Woodland Street, Suite 221, Hartford, CT 06105, USA. thomaszgonis@yahoo.com

Clinics in Podiatric Medicine and Surgery
|March 12, 2004
PubMed
Summary
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Fracture-dislocations of the tarsometatarsal joint are severe injuries that can lead to chronic disability. This review covers the injury

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Podiatric Medicine

Background:

  • Fracture-dislocation of the tarsometatarsal joint is a significant orthopedic injury.
  • This condition, though infrequent, can result in severe long-term functional impairment for patients.

Purpose of the Study:

  • To provide a comprehensive review of tarsometatarsal joint fracture-dislocations.
  • To consolidate information on anatomy, injury mechanisms, classifications, diagnostics, treatment, and outcomes.

Main Methods:

  • Literature review of existing studies on tarsometatarsal joint fracture-dislocations.
  • Synthesis of information regarding the complex's anatomy and injury biomechanics.
  • Compilation of current diagnostic modalities and treatment strategies.

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Main Results:

  • Detailed review of the anatomical structures of the tarsometatarsal joint.
  • Explanation of common injury mechanisms leading to fracture-dislocation.
  • Overview of established classification systems for these injuries.
  • Discussion of diagnostic imaging and clinical assessment findings.
  • Summary of surgical and non-surgical treatment options.
  • Analysis of factors influencing long-term patient outcomes and potential complications.

Conclusions:

  • Understanding the anatomy and mechanism of injury is crucial for effective management.
  • Accurate classification and timely diagnosis are key to successful treatment.
  • Comprehensive management, including appropriate surgical intervention and rehabilitation, can mitigate long-term disability.