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Lisfranc arthrodesis
Panagiotis Panagakos1, Krupa Patel, Crystal N Gonzalez
1Foot and Ankle Care Associates, LLC, Hahnemann University Hospital, Overlook Hospital, Staten Island, NY 10305, USA. peterdpm@gmail.com
Clinics in Podiatric Medicine and Surgery
|January 17, 2012
Summary
Lisfranc fracture-dislocations demand surgical intervention, even for subtle cases. This study compares surgical techniques like open reduction internal fixation and arthrodesis for optimal treatment.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
- Traumatology
Background:
- Lisfranc fracture-dislocations represent complex foot and ankle injuries.
- Accurate diagnosis and skilled surgical treatment are paramount.
- Conservative management is rarely effective for Lisfranc injuries.
Purpose of the Study:
- To emphasize the necessity of surgical intervention for all Lisfranc injuries, including subtle presentations.
- To compare different surgical treatment modalities for Lisfranc injuries.
- To review various fixation techniques employed in surgical management.
Main Methods:
- Comparative analysis of surgical approaches.
- Discussion of open reduction internal fixation (ORIF).
- Evaluation of partial and complete arthrodesis techniques.
Main Results:
- Surgical intervention is indicated for all Lisfranc injuries.
- Various fixation methods exist for ORIF and arthrodesis.
- The choice of technique depends on injury complexity.
Conclusions:
- Lisfranc injuries generally require surgical treatment.
- Open reduction internal fixation and arthrodesis are primary surgical options.
- Surgeons must master diverse fixation techniques for optimal outcomes.
