2004, Number 5
Acta Ortop Mex 2004; 18 (5)
Enríquez CJA, López VA, García HA, González TA, Ventura MA, Valente SR
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ABSTRACTIntroduction. Lisfranc’s fracture-luxation has been mentioned as a very unusual lesion. This is not a generalized opinion since some people assure that 20% of the cases evolves in an unnoticed way, specially in polytrauma. Material and methods. We have carried out an ambispective study from 1998 to 2003 where we included eighteen feet from seventeen patients classified according to Hardcastle. All of the patients were practiced an open reduction and osteosynthesis, with an average following period of 35.5 months. Results. The fracture presented itself with an incidence of 3.25%, with a male predominance and in a rate of 4.6:1. Type B lesion was the most common one, involving 50% of the cases, and the prevailing lesion mechanism was foot crushing, with an incidence of 35.5%. The result was good in 94.4% of the cases, and bad in just one patient. Discussion. The objective of the treatment of torso- metatarsus articular lesions consists of achieving a precise anatomical reduction, because this is the only way of obtaining a plantigrade support with a stable and painless condition. It is considered that a displacement with a value lower than two millimeters, when compared with the contralateral foot, may be considered as acceptable.