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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
PubMed
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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.

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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.