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Cast immobilization and non-weight-bearing for 6 weeks
3%
4/122
Closed reduction and percutaneous screw fixation
Open reduction and internal fixation
16%
20/122
Lisfranc arthrodesis of the medial and lateral column
20%
25/122
Lisfranc arthrodesis of the medial column and Kirschner wire fixation of the lateral column
50%
61/122
Select Answer to see Preferred Response
Whereas most fracture-dislocations of the Lisfranc joint are best treated with formal open reduction and internal fixation, primary fusion may be indicated in those fractures with severe intra-articular comminution, complete ligamentous dislocations, or delayed treatment. Fusion of the lateral column is not necessary because leaving it unfused has not been shown to adversely affect results. Closed reduction and percutaneous pinning does not allow for accurate reduction of the joint in a displaced fracture-dislocation. Cast immobilization would be appropriate for a diabetic who is insensate or someone whose medical conditions preclude surgery.
1.4
(32)
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