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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2024; 65(02): e94-e101
DOI: 10.1055/s-0044-1788923
Reporte de Caso | Case Report

Complex Lisfranc Fracture Dislocation: Report of Two Cases and Review

Article in several languages: español | English
Alvaro Vera-Alarcón 
1   Departamento de Cirugía Ortopédica y Traumatología, Centro Médico Naval, Lima, Perú
,
Félix Montesinos-Zavaleta
1   Departamento de Cirugía Ortopédica y Traumatología, Centro Médico Naval, Lima, Perú
,
Ricardo Cerna-Horna
1   Departamento de Cirugía Ortopédica y Traumatología, Centro Médico Naval, Lima, Perú
,
Samuel Orozco-De-Iraola
1   Departamento de Cirugía Ortopédica y Traumatología, Centro Médico Naval, Lima, Perú
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Abstract

Introduction Lisfranc injuries cover a wide spectrum of conditions that can impact the patient's quality of life if not treated appropriately. Accurate diagnosis, even of subtle cases that often go unnoticed, through specific examinations and early management is essential to obtain good results.

Materials and Methods We herein present two clinical cases of patients with Lisfranc fracture dislocation associated with tension hematomas who were submitted to decompression and open reduction and internal fixation with simultaneous use of various osteosynthesis materials little described in the literature.

Results Optimal radiographic results were obtained, which enabled accelerated rehabilitation and progressive improvement in range of motion from the week following surgery. At 18 months of the surgery, good scores were obtained on validated scales (such as the Foot Function Index [FFI] and the 36-Item Short Form Health Survey [SF-36]) that assess function and quality of life.

Discussion To date, there is no standard treatment for these lesions. In the first case, headless compression screws, locked tarsometatarsal plates, a Kirschner wire and even the button system were used, while in the second case, the fixation was performed only with Kirschner wires. Both cases presented very good functional results and return to their work activities. We performed a review emphasizing the diagnosis and management of this pathology.

Keywords

Lisfranc injury - headless compression screws - tarsometatarsal locking plates - Kirschner wires - button fixation - Lisfranc ligament


Publication History

Received: 27 August 2023

Accepted: 29 May 2024

Article published online:
05 September 2024

© 2024. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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