CLINICORADIOLOGICAL AND FUNCTIONAL OUTCOMES OF LISFRANC INJURIES MANAGED BY DIFFERENT TREATMENT MODALITIES IN A TERTIARY CARE CENTRE

Abstract

Background: The lisfranc injuries are and have poor functional outcomes. The aims of this study was to compare the functional and radiological outcomes of lisfranc injuries by different treatment modalities. Methods: A study of 46 patients treated for a Lisfranc injuries, over a period of 6 years at a tertiary care centre was performed. Of these 6 were managed conservatively. 22 by transarticular screws alone , 7 by K wires only and remaining 11 by combination of transarticular screw and K wire The primary outcome measures included the American Orthopaedic Foot and Ankle Society score, and the secondary outcome was the radiological Wilppula classification of anatomical reduction. Results: Road traffic accidents(RTA) was the most common mode of trauma in the study. The average length of followup after surgery was 29 months and mean AOFAS score achieved was 73.12. The analysis of radiological long-term data according to Wilppula showed 32 patients with good results, 9 with fair results and 5 with poor results. Conclusion: We concluded in our study that better functional outcomes were seen with anatomic reduction, independent of the fixation technique.