[Lisfranc lesions: clinical-functional repercussion]

Area of Science:

• Orthopedic surgery
• Foot and ankle injuries
• Traumatology

Background:

• Lisfranc injuries are complex foot and ankle trauma.
• Non-occupational and non-sports-related Lisfranc injuries are less common.
• Understanding outcomes for these specific injuries is important for patient management.

Purpose of the Study:

• To evaluate clinical and functional outcomes of Lisfranc injuries.
• To assess patients with Lisfranc lesions unrelated to work or sports.
• To compare outcomes based on injury energy levels.

Main Methods:

• Retrospective analysis of 13 patients with non-work/sport Lisfranc injuries.
• Patients divided into high-energy and low-energy groups.
• Assessed return to work/sport, footwear use, AOFAS scores, EVA pain scores, and complications.

Main Results:

• Low-energy group: All patients returned to work/sport; AOFAS 84.8, EVA 1.6.
• High-energy group: 57% returned to work, 43% to sport; AOFAS 79.4, EVA 2.8.
• No statistically significant differences observed between groups for studied variables.

Conclusions:

• Lisfranc injuries unrelated to occupational or sports activities generally yield good clinical and functional results.
• Early surgical intervention appears beneficial.
• While outcomes are generally positive, high-energy injuries may present a higher risk of sequelae.