Abstract
Twenty patients of Lisfranc joint injuries managed by flouroscopic guided closed reduction and percutaneous K-Wire fixation were evaluated for functional results with average follow up of 24 months. Males were 80% of total cases and road traffic accident represented cause of injury in 55% cases rest being due to fall. Majority of injuries were type B as per Myersons classification. The average AOFAS-M score was 78 with 80% patients returning to their original occupation. Early flouroscopic guided closed redusction and K-Wire stabilization of Lisfranc injuries is effective easy and reliable method of Lisfranc joint injury treatment with no secondary surgical procedure needed for implant removal and no cosmetic problem of scar formation
Highlights
The tarsometatarsal joint injuries are named as Lisfranc joint injuries after Jacques Lisfranc, a surgeon in Napoleon’s army described an amputation through the joint for gangrenous injuries of the forefoot [1]
Thorough understanding of mechanism of injury combined with advances in technology, various options for surgical management range from percutaneous Kirschner wire (K-wire) fixations to primary arthrodesis
Closed reduction and percutaneous Kirschner wire fixation has been reported in literature with acceptable outcomes [T6,h7e].purpose of this study was to evaluate the functional outcome of patients with Lisfranc joint injuries treated with fluoroscopically guided closed reduction and internal fixation with Kirschner wires within 24 hours of injury
Summary
The tarsometatarsal joint injuries are named as Lisfranc joint injuries after Jacques Lisfranc, a surgeon in Napoleon’s army described an amputation through the joint for gangrenous injuries of the forefoot [1]. Fracture dislocations of the Lisfranc (tarsometatarsal) joints of foot are uncommon but serious injuries, with high potential for chronic disability. These injuries can be missed in the emergency department as radiographs may show only subtle incongruity of the joint [2] (Figures 1 and 2). The current trend for management of these fractures is towards open reduction and screw/Kirschner wire fixation [4,5]. Closed reduction and percutaneous Kirschner wire fixation has been reported in literature with acceptable outcomes [T6,h7e].purpose of this study was to evaluate the functional outcome of patients with Lisfranc joint injuries treated with fluoroscopically guided closed reduction and internal fixation with Kirschner wires within 24 hours of injury
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
