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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Updated: Mar 26, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Reconstruction After Malunited Lisfranc Injuries.

Thomas Mittlmeier1,2, Patrick Haar3, Markus Beck3

  • 1Department of Trauma and Reconstructive Surgery, University of Rostock, Rostock, Germany. thomas.mittlmeier@med.uni-rostock.de.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|January 28, 2016
PubMed
Summary
This summary is machine-generated.

Malunion of Lisfranc joint injuries can cause secondary osteoarthritis and impair walking. Limited fusion of the medial Lisfranc rays with soft tissue release offers a favorable outcome for many patients.

Keywords:
ArthrodesisCorrective osteotomyDeformityLisfranc jointPosttraumatic osteoarthritis

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Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Biomechanics

Background:

  • Lisfranc joint malunions, often from missed injuries, cause secondary osteoarthritis, pain, and functional loss.
  • These conditions significantly disrupt walking performance and may be misdiagnosed as neuro-osteoarthropathic disorders.
  • Multiplanar deformities can accompany secondary osteoarthritis in the Lisfranc joint.

Purpose of the Study:

  • To outline a standardized approach for diagnosing and surgically managing Lisfranc joint malunions.
  • To describe a corrective arthrodesis concept focused on restoring foot column alignment and proportions.
  • To evaluate the efficacy of limited fusion in treating symptomatic secondary osteoarthritis of the Lisfranc joint.

Main Methods:

  • Clinical assessment and pathomorphological analysis to guide surgical planning.
  • Surgical intervention involving corrective arthrodesis with attention to multiplanar deformity.
  • Specific technique: fusion limited to the medial three rays combined with soft tissue release.

Main Results:

  • A comprehensive surgical concept respecting deformity realignment is crucial for functional outcomes.
  • A fusion limited to the medial three rays with soft tissue release can achieve favorable results in most cases.
  • This approach preserves the mobility of the two lateral rays, contributing to better function.

Conclusions:

  • Accurate diagnosis and a tailored surgical strategy are essential for managing Lisfranc joint malunions.
  • Limited arthrodesis of the medial Lisfranc rays is an effective treatment for secondary osteoarthritis.
  • Preserving lateral ray mobility enhances functional recovery and patient satisfaction.