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Lisfranc injuries
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Mr Wei-Han Tay
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Mr Wei-Han Tay is an Australian-trained Orthopaedic Surgeon who specialises in the treatment of foot and ankle conditions, and trauma. Wei-Han obtained his undergraduate medical … View Profile
Lisfranc injuries can result from a low or high energy mechanism, such as from a simple fall or sporting injury, or secondary to a fall from height or a motor vehicle accident, respectively. For acute injuries, it is recommended that you remain non-weight-bearing through your injured foot until you have been assessed by a specialist. Surgical open reduction and internal fixation is indicated for injuries with any displacement of the Lisfranc articulation to try restore joint stability and reduce the risk of post-traumatic arthritis in the midfoot. Fixation of the Lisfranc joint normally involves using plates and screws to bridge the injured tarsometatarsal joints. The plates function like internal clamps to hold the joints reduced until the surrounding bones and ligaments have healed, and are typically removed at 4-5 months after the index procedure. Alternatively, primary fusion of the medial tarsometatarsal joints can be considered for non-reconstructable intra-articular fractures or purely ligamentous Lisfranc injuries.
