Enríquez CJA, López VA, García HA, González TA, Ventura MA, Soto RV

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

ABSTRACT

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.

REFERENCES

1. Anderson BR: Fracture-Dislocations. Current practice in Foot and Ankle Surgery. Mc Graw-Hill. 1994; 1(6): 129-159.

2. Arntz CT: Fractures and fracture-dislocations of the tarsometatarsal joint. J Bone Joint Surg 1988; 70-A(2): 173-181.

3. Crenshaw AH: Cirugía Ortopédica. Panamericana. 8ª Edición. Tomo 3. 1997: 2726-2734.

4. Goossens M: Lisfranc´s fracture-dislocations: etiology, radiology, and results of treatment. A review of 20 cases. Clin Orthop Rel Res 1983; 176: 154-162.

5. Mann RA: Cirugía del pie, Lesiones de Lisfranc, Panamericana, 1987: 911-925.

6. Rockwood, Green: Fractures in Adults. Lippincott-Raven publisher. 4th edition in CD-Rom. 1996 Chapter 32 Fractures and dislocations of the foot.

7. Skeletal Trauma on CD-Rom, Bruce D. Browner. Fractures and dislocations, ligamentous Injury. 1998 Chapter 58, record23557-23790.

8. Chan SCF, Chow: Current concept review on Lisfranc´s injuries. Hong Kong J Orthop Surg 2001; 5(1): 75-80.

9. Johnson GF: Pediatric Lisfranc´s Injury: “Bunk Bed” fracture. AJR 1981; 137: 1041-1044.

10. Perron AD: Orthopaedic pitfalls in the ED: Lisfranc’s fracture-dislocation. Am J Emerg Med 2001; 19(1).

11. Colchero RF: La consolidación de las fracturas. Su fisiología y otros datos de importancia. Rev Med IMSS (México), 1983; 21(4).

12. Faciszewski T: Subtle injuries of the Lisfranc´s joint. J Bone Joint Surg 1990; 72-A(10).

13. Kapandji IA: Cuadernos de fisiología articular. Tomo II. Mason. 4ª edición. 1999: 172-175.