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  • Summary
  • Epidemiology
  • ETIOLOGY
  • Anatomy
  • Classification
  • Presentation
  • Imaging
  • Differential
  • Treatment
    • Nonoperative
      • cast immobilization for 8 weeks
        • indications
          • certain non-displaced injuries that are stable with weight bearing
          • nonoperative candidates
            • nonambulatory patients
            • presence of serious vascular disease
            • severe peripheral neuropathy
        • outcomes
          • significantly lower functional and radiographic outcomes noted with non-operative management of displaced or transverse unstable injuries
    • Operative
      • temporary percutaneous pinning and delayed ORIF or arthrodesis
        • indications
          • displaced Lisfranc fracture dislocation injury with significant soft tissue swelling
        • outcomes
          • temporizing reduction and pinning and delayed definitive management with ORIF/arthrodesis has been shown to have decreased risk of wound infection in some low level studies.
      • open reduction and rigid internal fixation
        • indications
          • favored in bony fracture dislocations as opposed to purely ligamentous injuries
        • outcomes
          • anatomic reduction required for a good result
          • excluding hardware removal, no difference in complications or functional outcomes between ORIF and arthrodesis
      • primary arthrodesis of the first, second and third tarsometatarsal joints
        • indications (controversial)
          • purely ligamentous arch injuries
          • chronic deformity
          • complete Lisfranc fracture dislocations (Type A or C2)
        • outcomes
          • function outcomes
            • level 1 evidence demonstrates equivalent functional outcomes compared to primary ORIF
            • medial column tarsometatarsal fusion shown to be superior to combined medial and lateral column tarsometatarsal arthrodesis
            • some studies have shown that primary arthrodesis for complete Lisfranc fracture dislocations (Type A or C2) results in improved functional outcomes and quality of reduction compared to ORIF
          • complications
            • excluding hardware removal, no difference in complications between ORIF and arthrodesis
      • midfoot arthrodesis
        • indications
          • destabilization of the midfoot's architecture with progressive arch collapse and forefoot abduction
          • chronic Lisfranc injuries that have led to advanced midfoot arthrosis and have failed conservative therapy
  • Technique
  • Complications
  • Prognosis
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Question
1 of 37
Foot & Ankle | Lisfranc Injury
  • Foot & Ankle
  • - Lisfranc Injury
22:52 min
10/18/2019
3244 plays
4.8
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(17)
Question Session⎜TKA Periprosthetic Fracture & Lisfranc Injury
  • Foot & Ankle
  • - Lisfranc Injury
17:18 min
11/11/2019
138 plays
5.0
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(2)
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