Acta Ortopédica Mexicana

Enríquez CJA, López VA, García HA, González TA, Ventura MA, Soto RV
Lisfranc’s fracture dislocation. Epidemiological study and results at the General Hospital in Mexico
Acta Ortop Mex 2005; 19 (s1)

Language: Inglés
References: 13
Page: 38-41
PDF: 64.69 Kb.

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Introduction. Lisfranc’s fracture dislocation has been reported as an uncommon lesion. However, there is no agreement on this, as some claim that about 20% of cases go unnoticed, especially in patients with multiple trauma. Material and Methods. We conducted an ambispective study from 1998 to 2003 involving 18 feet of 17 patients classified according to Hardcastle. All patients underwent open reduction and osteosynthesis with a mean 35.5-month follow-up. Results. The fracture rate was 3.25%. Male-female ratio was 4.6:1. The B type lesion was the most common one, accounting for 50% of cases and the major mechanism of injury was foot crushing with 35.5% of cases. The result was good in 94.4% of cases and poor in one patient. Discussion. The purpose of treating torsometatarsal joint lesions is to achieve an accurate anatomical reduction. This is the only way to attain stable, painless, plantigrade support. A displacement of less than 2 millimeters compared to the contralateral foot is considered acceptable.

Key words: dislocation, foot, metatarsophalangeal joint, intramedullary nails.


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