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Published on: March 3, 2023
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[Lisfranc injuries]
Johannes Wunder1, Christoph Schirdewahn1, David Griger1
1Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, Klinikum Weiden, Söllnerstr. 16, 92637, Weiden in der Oberpfalz, Deutschland.
Unfallchirurgie (Heidelberg, Germany)
|July 30, 2024
Summary
Lisfranc injuries, severe foot trauma, range from sprains to dislocations. Proper diagnosis and treatment are crucial for preventing chronic pain and deformity.
Area of Science:
- Orthopedics
- Trauma Surgery
- Radiology
Background:
- Lisfranc injuries are severe foot trauma, ranging from ligament sprains to complex fracture-dislocations.
- Etiology includes indirect/direct forces and high/low-energy trauma.
- Inadequate diagnostics can lead to chronic pain, instability, and deformity.
Purpose of the Study:
- To provide a comprehensive overview of Lisfranc injuries.
- To highlight diagnostic challenges and imaging modalities.
- To discuss treatment strategies and prognostic factors.
Main Methods:
- Review of current literature on Lisfranc injuries.
- Emphasis on diagnostic imaging, including conventional radiography and computed tomography (CT) with 3D reconstruction.
- Discussion of conservative and surgical treatment options.
Main Results:
- Lisfranc injuries require careful diagnosis to avoid complications like posttraumatic osteoarthritis.
- Computed tomography (CT) with 3D reconstruction is essential for complex fractures or unclear conventional findings.
- Associated foot pathologies must also be addressed for optimal outcomes.
Conclusions:
- Accurate diagnosis and timely intervention are key for managing Lisfranc injuries.
- Treatment choice (conservative vs. surgical) depends on injury severity and pattern.
- Prognosis is directly linked to the extent of initial damage and the quality of surgical reconstruction.
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