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Neglected Lisfranc's joint dislocation.

H Yamamoto1, K Furuya, T Muneta

  • 1Department of Orthopaedics, Tokyo Medical and Dental University, Japan.

Journal of Orthopaedic Trauma
|January 1, 1992
PubMed
Summary
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An irreducible Lisfranc

Area of Science:

  • Orthopedic surgery
  • Foot and ankle reconstruction
  • Trauma surgery

Background:

  • Lisfranc joint injuries often require surgical intervention.
  • Delayed or incomplete reduction can lead to chronic pain and deformity.
  • Surgical outcomes depend on accurate reduction and stabilization.

Observation:

  • A 34-year-old male patient presented with persistent foot deformity and pain 14 months post-surgery for a Lisfranc dislocation.
  • Radiographs revealed an unreduced lateral dislocation of the Lisfranc joint.
  • Intraoperative findings showed the split anterior tibial tendon interposed between the medial and middle cuneiform bones, obstructing reduction.

Findings:

  • The interposed anterior tibial tendon prevented closed reduction of the lateral Lisfranc dislocation.

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  • Even after repositioning the tendon, complete reduction was not achieved due to articular surface deformity.
  • The patient ultimately underwent arthrodesis (joint fusion) of the Lisfranc joint.

    • Implications:

    • Anterior tibial tendon interposition should be suspected in cases of irreducible lateral Lisfranc joint dislocations.
    • This complication can necessitate complex surgical management, including arthrodesis.
    • Early diagnosis and appropriate surgical technique are crucial for successful Lisfranc injury treatment.