Open Reduction and Internal Fixation Versus Primary Arthrodesis for Lisfranc Injuries.

Area of Science:

• Orthopedic surgery
• Podiatric medicine
• Sports medicine

Background:

• Lisfranc (tarsometatarsal) joint injuries are complex.
• Treatment options for Lisfranc injuries remain controversial.
• Arthrodesis was traditionally a salvage procedure for Lisfranc injuries.

Purpose of the Study:

• To review current literature on Lisfranc injuries.
• Compare open reduction and internal fixation (ORIF) with primary arthrodesis.
• Evaluate treatment alternatives for Lisfranc joint complex injuries.

Main Methods:

• Literature review of orthopedic and podiatric studies.
• Analysis of treatment outcomes for Lisfranc injuries.
• Comparative study of surgical techniques for tarsometatarsal joint injuries.

Main Results:

• Primary arthrodesis is increasingly considered a viable treatment.
• Open reduction and internal fixation has historically been the standard.
• Debate continues regarding the optimal management strategy.

Conclusions:

• Primary arthrodesis presents a potential alternative to ORIF for Lisfranc injuries.
• Further research is needed to establish definitive treatment guidelines.
• Management of Lisfranc injuries requires careful consideration of surgical options.