Lisfranc injuries, also called Lisfranc fracture-dislocations, are the most common It is named after Jacques Lisfranc De Saint Martin (), the chief of. PDF | Estudo retrospectivo de 19 casos de fratura-luxação de Lisfranc tratados cirurgicamente no período de a O tempo de acompanhamento foi de . RESUMO Objetivo: Analisar o perfil de pacientes com lesões de Lisfranc, as características das lesões e fraturas associadas. Métodos: Trata-se de uma análise.

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Evaluation of the surgical treatment of Lisfranc joint fracture-dislocation

Open reduction and rigid internal fixation of the first to third tarsometatarsal joints and K-wire fixation of the fourth and fifth tarsometatarsal joints. Its integrity is crucial to the stability of the Lisfranc joint. Any instabilities can be compressed with the pointed reduction forceps and held with K-wires. Stress radiographs are seen in Figure A.

Nunley-Vertullo classification – illustrations Figure 3: If the Lisfranc injury includes a fracture at the base of the 2nd metatarsal, then faster, stronger bone-to-bone healing may be expected.

Fractures and cartilage injuries Sx2— There are three classifications for the fracture: What treatment is most appropriate?


The base of the second metatarsal is held in place by the plantar TMT ligaments. CS1 French-language sources fr Infobox medical condition.


Outcome after open reduction and internal fixation of Lisfranc joint injuries. It can be used for combined foot and leg injuries. In the foot, it can be used for decompression as well as approach for ORIF. The patient denies pain along the lateral border of the midfoot. Orthopedic imaging, a practical approach. His radiographs are shown in figures A and B. In the forefoot, incisions should be straight, in the fratkra of the foot and should never be undermined.

The other player landed on the back of his foot. The feedback you provide will help us show you more relevant content in the future. Injuries to the metatarsal joint: And what on earth Please vote below and frwtura us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? L7 – years in practice. The screw can be inserted into either the lateral or middle cuneiform.

Dw score is based on a scale ranging from 0 to dw, taking clinical and radiographic aspects into account 6,24, Fractures and dislocations of the forefoot: Richard Buckley, Andrew Sands.


August triple arthrodesis. Nineteen patients were included in the study 17 males – Contact Disclaimer AO Foundation. In other projects Wikimedia Commons. The dorsolateral incision is centered over the TMT area, roughly in line with the fourth metatarsal. Analysis of 42 cases showed that in our sample, men were more affected than women, with a ratio of 4.


The position is held using a pointed reduction Weber clamp, or K-wires placed under image intensification. L6 – years in practice. Critical Reviews in Biomedical Engineering. General Surgical Considerations equipment fluoroscopy and radiolucent table small fragment and mini fragment sets 2.

Bumper fracture Segond fracture Gosselin fracture Toddler’s fracture Pilon fracture Plafond fracture Tillaux fracture. Wheeless’ Textbook of Orthopaedics online. A second screw can be placed if desired from the dorsal medial cuneiform through the plantar base of the first metatarsal.

As described in literature, Lisfranc injuries are resultant from high-energy trauma 5,8,12, Views Read Edit View history. Typical X-ray findings would include a gap between the base of the first and second toes.

A radiograph is provided in Figure A. Dislocation of the tarsometatarsal joint.

What is lixfranc best way to shop for auto insurance? There is midfoot swelling, usually dorsal. Long plantar ligament and plantar ligament between the first cuneiform and the second and third metatarsals.

The most frequent trauma mechanism was car accident, followed by motorcycle accident.