Open Reduction Internal Fixation of the Lisfranc Complex

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Foot and Ankle Surgery

Background:

• Lisfranc injuries involve complex disruptions of the tarsometatarsal joints.
• Untreated injuries can lead to chronic pain, deformity, and mid-foot arthrosis.
• Surgical treatment options include open reduction internal fixation versus arthrodesis, with ongoing debate.

Observation:

• High-energy Lisfranc complex fracture dislocations present a significant surgical challenge.
• Accurate anatomical reduction is crucial for successful functional recovery.
• Surgical approaches vary, requiring careful consideration of the injury pattern.

Findings:

• This video showcases a detailed surgical approach for high-energy Lisfranc injuries.
• It illustrates the reduction and internal fixation strategies employed.
• The focus is on achieving precise anatomical alignment of the disrupted joints.

Implications:

• Effective surgical management of Lisfranc injuries is vital to prevent long-term morbidity.
• Understanding surgical techniques improves functional outcomes for patients with these complex fractures.
• This visual guide aids surgeons in managing challenging Lisfranc fracture dislocations.