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Related Experiment Videos

[Lisfranc's fracture-dislocations]

O Jarde1, J L Trinquier-Lautard, J F Filloux

  • 1Service d'Orthopédie-Traumatologie, Hôpital Nord, Amiens.

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|January 1, 1995
PubMed
Summary
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Prompt reduction and fixation of Lisfranc (tarsometatarsal) fractures dislocations, even with minimal displacement, are crucial for optimal outcomes. Immediate total arthrodesis is recommended for severe comminution.

Area of Science:

  • Orthopedic Surgery
  • Trauma Care
  • Radiology

Background:

  • Lisfranc (tarsometatarsal) fractures dislocations are rare injuries.
  • This study reviews 69 cases observed between 1974 and 1992.

Purpose of the Study:

  • To evaluate the diagnostic value of standard X-rays.
  • To analyze treatment outcomes for Lisfranc fractures dislocations.
  • To determine the most effective surgical interventions.

Main Methods:

  • Retrospective analysis of 69 Lisfranc injuries.
  • Classification using Trillat's system.
  • Various reduction and fixation techniques including orthopedic reduction, percutaneous K-wires, open reduction with internal fixation, and arthrodesis.

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Main Results:

  • 63 patients were followed for 2-9 years.
  • Accurate reduction and fixation are essential, even for minimal displacement.
  • Open reduction is preferred for minor anatomical defects; immediate total arthrodesis is suitable for significant comminution.

Conclusions:

  • Reduction of Lisfranc dislocations is critical for good outcomes.
  • Immediate arthrodesis shows promising results.
  • High-quality anatomical reduction is paramount to prevent secondary arthrosis.