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Related Experiment Video

Updated: Dec 24, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Screw in Lisfranc Ligament.

Stephen Sierra¹, Vinod K Panchbhavi¹

¹Department of Orthopaedic Surgery and Rehabilitation, University of Texas Medical Branch, Galveston, Texas.

Foot & Ankle Specialist

|April 18, 2020

Summary

The Lisfranc screw, used for ligament injuries, often disrupts ligament attachment sites during insertion. This potential damage may negatively impact the healing process of the Lisfranc interosseous ligament.

Keywords:

Lisfranc Lisfranc injury Lisfranc joint Lisfranc ligament Lisfranc screw interosseous midfoot injury

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Area of Science:

Orthopedic surgery
Foot and ankle anatomy

Background:

Lisfranc interosseous ligament injuries are commonly treated with screw fixation.
Concerns exist regarding the potential for screws to cause further ligament disruption.

Purpose of the Study:

To evaluate the proximity of the Lisfranc screw to ligament attachment sites.
To assess the degree of disruption caused by screw insertion at these sites.

Main Methods:

Analysis of 23 feet undergoing Lisfranc screw insertion.
Measurement of the relationship between the screw hole and ligament attachment sites.
Cadaveric dissection and radiographic analysis.

Main Results:

Screw hole contact with ligament attachment sites occurred in 20 of 23 feet.
Complete penetration or partial disruption of attachment sites was observed in 11 feet.
Minimal contact (<=1 mm) occurred in 9 feet; no contact in 3 feet.

Conclusions:

Screw insertion for Lisfranc injuries frequently compromises ligament attachment sites.
This disruption may impede the natural healing of the Lisfranc interosseous ligament.
Clinical relevance lies in the potential for iatrogenic injury during fixation.