Injuries of the Lisfranc joint

Abstract

Injuries of the Lisfranc’s joint are not so common, but in most of cases they are misdiagnosed. This have been changed by better diagnostic procedures, CT scan and MRI in some of the cases. The number of patients increases and this is of importance, due to the mentioned overlooked cases. The surgical treatment is preferable, either within few days or postponed for a7-10 days in aim to oedema subside. Intraoperative fluoroscopy is mandatory and stable fixation is better for the first three metatarsal bones, while the lateral two MT bones could be stabilized by Kirschner wires. Prolonged nonweight beairing is prescribed as well as physical therapy if one should obtain favorable outcome. [Projekat Ministarstva nauke Republike Srbije, br. 175095]