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Delayed open reduction of Lisfranc's joint dislocation.
The Journal of Foot Surgery
|January 1, 1983
Summary
This case study details a delayed diagnosis of Lisfranc dislocation, a rare foot injury. Surgical fusion successfully restored joint alignment and function, allowing a full return to activity.
Area of Science:
- Podiatric surgery
- Orthopedic trauma
- Foot and ankle anatomy
Background:
- Lisfranc dislocation fractures are rare but severe injuries.
- Delayed diagnosis complicates treatment and prognosis.
- Tarsometatarsal joint degeneration is a risk with delayed intervention.
Observation:
- A case of Lisfranc dislocation with a 7-month delay in diagnosis is presented.
- Degenerative changes were noted in the tarsometatarsal articulation due to the delay.
- Surgical arthrodesis was performed using bone screws and Kirschner wire fixation.
Findings:
- Excellent surgical outcomes were achieved.
- Anatomical realignment of the Lisfranc articulation was successful.
- Full return to pre-injury physical activities occurred 8 months postoperatively.
Implications:
- Surgical arthrodesis can be effective even in delayed Lisfranc injuries.
- Early diagnosis and treatment are crucial for optimal outcomes.
- This case highlights the potential for successful management of complex foot trauma.