Title: Lisfranc Injury- Intervene early for better results
Authors: Varigonda Sivani, Madhavi Kammela, P. Ashok Kumar
DOI: https://dx.doi.org/10.18535/jmscr/v7i2.166
Abstract
Background: Lisfranc injuries are fractures and dislocations involving tarso metatarsal joints. They account for about 0.1% to 0.4% of all fractures. Most of these fractures are missed inspite of improved investigative modalities, especially in the settings of polytrauma. Delay in treatment of these injuries lead to painful secondary deformities and impaired function.
Aim: To evaluate the functional outcome following early open reduction and internal fixation of Lisfranc injuries and to emphasise different radiological parameters to diagnose the Lisfranc injuries
Methods and Methodology: 10 cases of Lisfranc injuries over a period of six months were considered. They were treated with open reduction and internal fixation within one week. They were followed up for 3 months and their functional outcome was noted using AOFAS midfoot scores.
Results: Using the radiological parameters, Lisfranc injury was diagnosed in these patients accurately and their post operative functional outcome was calculated. There was consistent improvement in their scores.
Conclusion: Identifying the Lisfranc injury and early intervention with open reduction and internal fixation helps in achieving better functional outcome in patients with Lisfranc injuries.
