Related Experiment Videos
Tarsometatarsal (Lisfranc's) fracture-dislocation
1Department of Orthopaedics, Cleveland Clinic Foundation, Ohio, USA.
American Journal of Orthopedics (Belle Mead, N.J.)
|February 1, 1995
Summary
Lisfranc injuries are rare but often missed fractures. Prompt diagnosis and management of these tarsometatarsal fracture-dislocations are crucial for better patient outcomes and preventing long-term complications.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Podiatric Medicine
Background:
- Tarsometatarsal fracture-dislocations, or Lisfranc injuries, represent 0.2% of all fractures.
- These injuries are frequently misdiagnosed (up to 20%), particularly in polytrauma patients with competing injuries.
- Delayed diagnosis can lead to significant morbidity and long-term functional deficits.
Purpose of the Study:
- To review the mechanism of injury, clinical diagnosis, and treatment options for tarsometatarsal fracture-dislocations.
- To discuss the outcomes of arthrodesis for posttraumatic arthritis following Lisfranc injuries.
- To emphasize the importance of early recognition for improved patient prognosis.
Main Methods:
- Review of existing literature on Lisfranc injuries.
- Analysis of diagnostic criteria and treatment modalities.
- Evaluation of surgical outcomes, specifically arthrodesis for posttraumatic arthritis.
Main Results:
- Lisfranc injuries have a high rate of misdiagnosis, especially in complex trauma cases.
- Arthrodesis can provide relief for symptomatic posttraumatic arthritis.
- Understanding injury mechanisms aids in prompt diagnosis.
Conclusions:
- A comprehensive understanding of Lisfranc injuries is essential for timely diagnosis and effective management.
- Early and accurate diagnosis significantly improves functional recovery and reduces the risk of debilitating complications.
- Physicians must maintain a high index of suspicion for these injuries in appropriate clinical settings.