Lisfranc Fixation Utilizing Dorsomedial Plating Technique.

Area of Science:

• Orthopedic Surgery
• Traumatology
• Biomechanical Engineering

Background:

• Lisfranc injuries present complex treatment challenges.
• Surgical options include open reduction and internal fixation (ORIF) versus arthrodesis.
• Both ORIF and arthrodesis can yield similar outcomes with proper technique.

Purpose of the Study:

• To simplify operative intervention for Lisfranc injuries.
• To present a reliable, biomechanically stable plating technique.
• To achieve good patient outcomes with a joint-sparing approach.

Main Methods:

• A dorsomedial approach for surgical intervention.
• Application of a specific plating technique for rigid fixation and anatomic reduction.
• Evaluation of a cohort of 31 patients with a minimum 12-month follow-up.

Main Results:

• Mean operative room time was 81 minutes.
• Median time to union was 198 days, with one non-union.
• Complications included infections, hardware issues, and elective hardware removal in 15 patients.

Conclusions:

• The described plating technique offers a simplified, biomechanically stable approach for Lisfranc injuries.
• This joint-sparing method demonstrates good patient outcomes.
• The technique provides a reliable alternative for managing complex Lisfranc injuries.