Transarticular Screw Technique for Stabilization of Lisfranc Injuries

Abstract

Injuries to the tarsometatarsal joint complex are known as Lisfranc injuries. Although relatively rare when considered with all other injuries about the foot and ankle, they are frequently seen in the orthopedic clinic. These injuries are often missed and can lead to long-standing pain and disability. Therefore, a high index of suspicion must be maintained by the evaluating orthopedic surgeon. Studies have shown that anatomic reduction is critical to obtain a good result. Transarticular screw fixation has the ability to obtain and maintain an anatomic reduction. This technique has historically been the most common method of treatment. But, follow-up studies have shown a high rate of posttraumatic arthritis and reoperation. This has led to the consideration of other means of treatment such as primary arthrodesis, extra-articular plating, and suture button fixation. Regardless of the chosen method, the goal of treatment is a stable, pain-free, plantigrade foot. Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.