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Acta Orthop Belg ; 85(2): 150-158, 2019 Jun.
Article in English | MEDLINE | ID: mdl-31315005

ABSTRACT

A Lisfranc injury is when one or more of the metatarsals are displaced from the tarsus. The term is more commonly used to describe an injury to the midfoot, centred on the 2nd tarso-metatarsal joint. These fractures are sometimes easily overlooked, especially if they are part of a polytrauma. They are often difficult to diagnose and treat, but if they go undetected and are not properly treated, they can cause long-term or chronic disability. Our team reviewed a group of 71 patients with a Lisfranc fracture dislocation. The lesions were classified according to Meyerson classification. All the patients were re-evaluated 3 years after their surgeries by clinical examination, Ankle-Hindfoot Scale AOFAS questionnaire, X-rays and baropodometric analysis. This review outlines the treatment outcome of this injury, taking into consideration the timing of diagnosis.


Subject(s)
Foot Injuries/surgery , Fractures, Bone/surgery , Joint Dislocations/surgery , Metatarsal Bones/injuries , Tarsal Bones/injuries , Tarsal Joints/surgery , Adult , Aged , Female , Foot Injuries/diagnostic imaging , Fracture Fixation , Fractures, Bone/diagnostic imaging , Humans , Joint Dislocations/diagnostic imaging , Male , Metatarsal Bones/diagnostic imaging , Metatarsal Bones/surgery , Middle Aged , Radiography , Retrospective Studies , Tarsal Bones/diagnostic imaging , Tarsal Bones/surgery , Tarsal Joints/diagnostic imaging , Treatment Outcome , Young Adult
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