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Closed reduction and percutaneous pin fixation
3%
19/660
Application of a short leg non-weight-bearing cast
2%
12/660
Application of a walking boot with weight bearing as tolerated
Open reduction and internal fixation
92%
604/660
Elastic bandage wrap and activity as tolerated
1%
7/660
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The patient has a ligamentous Lisfranc injury. Diastasis seen between the bases of the second metatarsal and medial cuneiform is pathognomonic for a rupture of the Lisfranc’s ligament. This injury is best treated surgically with either open reduction and internal fixation or possibly closed manipulation and percutaneous screw fixation if anatomic alignment can be achieved closed. Pin fixation has been shown to be inferior to screw fixation due to the length of time that fixation is required for adequate ligament healing.
3.3
(8)
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