Salvage of Failed Lisfranc/Midfoot Injuries.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosure The authors have nothing to disclose. 7. Injury. 2015 Apr;46(4):536-41. doi: 10.1016/j.injury.2014.11.026. Epub 2014 Dec 10. Lisfranc injuries. Welck MJ(1), Zinchenko R(2), Rudge B(3). Author information: (1)SpR Trauma and Orthopaedics, Watford General Hospital, United Kingdom. Electronic address: matthewwelck@doctors.org.uk. (2)University College London Medical School, United Kingdom. (3)Consultant Orthopaedic Surgeon, Watford General Hospital, United Kingdom. Lisfranc injuries are commonly asked about in FRCS Orthopaedic trauma vivas. The term "Lisfranc injury" strictly refers to an injury where one or more of the metatarsals are displaced from the tarsus. The term is more commonly used to describe an injury to the midfoot centred on the 2nd tarsometatarsal joint. The injury is named after Jacques Lisfranc de St. Martin (1790-1847), a French surgeon and gynaecologist who first described the injury in 1815. 'Lisfranc injury' encompasses a broad spectrum of injuries, which can be purely ligamentous or involve the osseous and articular structures. They are often difficult to diagnose and treat, but if not detected and appropriately managed they can cause long-term disability. This review outlines the anatomy, epidemiology, classification, investigation and current evidence on management of this injury. Copyright © 2014 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.injury.2014.11.026