A review article on recent advances in surgical management of Lisfranc fracture dislocations

Vol 4 | Issue 1 | Jan-Jun 2019 | page:2-5  | Ajinkya Achalare, Chetan Pradhan, Sampat Dumbre Patil, Parag Sancheti, Ashok Shyam


Authors: Ajinkya Achalare [1], Chetan Pradhan [1], Sampat Dumbre-Patil [1], Parag Sancheti [1], Ashok Shyam [1].

[1] Department of Orthopedics, Sancheti Institute of Orthpedics and Rehabilitation

 

Address of Correspondenc
Dr. Ashok Shyam,
Sancheti Institue of Orthopedics and Rehabiliation, Shivajinagar, Pune – 16
Email: drashokshyam@gmail.com.


Abstract

Background: Lisfranc fracture dislocations are rare but debilitating injuries. Apart from early diagnosis, an anatomical and stable reduction is crucial for obtaining favourable outcomes. The current study aimed at studying the recent trends of fixation modalities used for Lisfranc fractures.
Methods: Recent articles were searched on search engines such as PubMed, Google Scholar and additionally by checking references of various articles.
Results: Total of 11 recent articles on various surgical modalities used for Lifranc fracture-dislocations were studied. Review suggested that fixation with trans-articular screws and dorsal bridging plates remain the standard modalities for widely displaced fractures. However, for minimally displaced fractures and pure ligamentous injuries, minimally invasive procedures are being preferred. These include Lisfranc ligament reconstruction with hamstring graft, fixation with suture button device, anatomical reduction and fixation with the help of fluoroscopy and arthroscopy. However, long term follow-ups are needed to establish superiority of one modality over other.
Keywords: Lisfranc fractures, minimally invasive plating, Lisfranc ligament reconstruction, suture button device.


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How to Cite this Article: Achalare A, Pradhan C, Patil S D, Sancheti P, Shyam A. A review article on recent advances in surgicalmanagement of Lisfranc fracture dislocations. Journal of Orthopaedic and Rehabilitation 2019 Jan-Jun; 2(1):2-5.

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