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Operative outcomes of Lisfranc’s fracture dislocation

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Original Article

Author Details : Aditya K Medhavi*, E Venkateshulu, M Tamil Selvan

Volume : 8, Issue : 1, Year : 2022

Article Page : 23-31

https://doi.org/10.18231/j.ijos.2022.005

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Abstract

Lisfranc joint injury is uncommon and can fail to notice at the initial assessment and treatment. Once ignored, late reduction is difficult and requires extensive dissection. Lisfranc joint injuries are known to result in unctional loss and chronic pain due to residual ligamentous instability, deformity, and/or arthritis; osteoporosis may also occur due to antalgic gait without weight bearing. This recognition is important, as most of the injuries are either misdiagnosed or overlooked, such as in patients suffering from polytraumatic injuries, possibly becoming a permanent source of pain after the major fractures have healed.
Materials and Methods: A prospective study to be conducted at the Department of Orthopaedic Surgery, Vijayanagar Institute of Medical Sciences, Ballari from 2018 to 2020. This study consists of 30 cases of Lisfranc’s Fracture Dislocation treated operatively by Cannulated Cancellous Screws and K wires (Kirschner Wires). The cases were selected according to inclusion and exclusion criteria. The functional outcome was evaluated using AOFAS score.
Results: In our study, we achieved Excellent in 10% of the cases. Good outcome in 73.33% of cases, Fair outcome in 13.3% of the cases and no patient had poor outcome in our study. Average AOFAS (American Orthopaedic Foot and Ankle Score) being 76.5.
Conclusion: It can be concluded from the present study that operative management with CC (Cannulated Cancellous Screws) Screws and K Wires is an effective means of treatment based on biomechanical principle with good functional outcome and minimum complication.
 

Keywords: Fracture, Bone screws, Foot joints, Kirschner wires

How to cite : Medhavi A K, Venkateshulu E, Selvan M T, Operative outcomes of Lisfranc’s fracture dislocation. Indian J Orthop Surg 2022;8(1):23-31

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