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Lisfranc Dislocation having Bimalleolar Fracture with Syndesmotic Injury
D Ghate Sushant1, Babar Ashwin1, Vidyasagar M Sistla1
1Department of orthopaedics R. N. Cooper Municipal General Hospital, Juhu, Mumbai.
Introduction:
Fracture-dislocations of tarsometatarsal joints are rare. Association of these fractures with ankle injuries is very rare; to our knowledge not reported in the literature. Here, we report a rare case of Tarso-metatarsal (Lisfranc) dislocation with bimalleolar fracture with syndesmotic injury.
Case Report:
Patient was treated with closed reduction and fixation of Lisfranc injury with combination of screws and k wires and also fixation of bimalleolar and syndesmotic injury. At follow up patient achieved excellent function as assessed by AOFAS (American Orthopaedic Society Foot and Ankle Society Midfoot Score).
Conclusion:
Even though extremely uncommon, early recognition of ankle injuries with uncommon lisfranc fractures & dislocations is important as prompt and simultaneous treatment of both injuries results in excellent clinical outcome.
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