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.


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.


1. Arntz CT, Hansen ST. Dislocations and fracture dislocations of the tarsometatarsal joints. Orthop Clin North Am. 1987;18:105–114.
2. Chiodo C, Myerson M. Developments and advances in the diagnosis and treatment of injuries to the tarsometatarsal joint. Orthop Clin North Am. 2001;32:11–20.
3. Kuo R, Tejwani N, DiGiovanni CW, et al. Outcome after open reduction and internal fixation of Lisfranc joint injuries. J Bone Joint Surg Am. 2000;82A:1609–1618.
4. Thordarson DB, Hurwitz G. PLA screw fixation of Lisfranc injuries. Foot Ankle Int. 2002;23:1003–1007.
5. Alberta FG, Aronow MS, Barrero M, et al. Ligamentous Lisfranc joint injuries: a biomechanical comparison of dorsal plate and transarticular screw fixation. Foot Ankle Int. 2005;26:462–473.
6. Cohen DA, Parks BG, Schon LC. Screw fixation compared to H-locking plate fixation of first metatarsocuneiform arthrodesis: a biomechanical study. Foot Ankle Int. 2005;26:984–989.
7. Frigg R. Locking compression plate (LCP). An osteosynthesis plate based on the dynamic compression plate and the Point Contact Fixator (PC-Fix). Injury. 2001;32(suppl 2):530–534.
8. Schildhauer TA, Nork SE, Sangeorzan BJ. Temporary bridge plating of the medial column in severe midfoot injuries. J Orthop Trauma. 2003;17: 513–520.
9. Michael Vosbikian, MD1, Joseph T. O’Neil, MD2, Christine Piper, MD3, Ronald Huang, MD2, and Steven M. Raikin, MD4Outcomes After Percutaneous Reduction and Fixation of Low-Energy Lisfranc InjuriesFoot & Ankle International 1 –6, 2017
10. Simon C. Lau Catherine Guest Marucs Hall Mark Tacey Samuel Joseph Andrew Oppy Do Columns or Sagittal Displacement Matter in the Assessment and Management of Lisfranc Fracture Dislocation? An Alternate Approach to Classification of the Lisfranc Injury, Intnl j.injury.2017.03.046
11. Grant Cochran, MD1, Christopher Renninger, MD1Primary Arthrodesis versus Open Reduction and Internal Fixation for Low-Energy Lisfranc Injuries in a Young Athletic Population, Foot & Ankle International 1 –7, 2017
12. Harrison Scofield, BS, Kenrick Lam, MD, Vinod Panchbhavi,Outcomes of Lisfranc Injuries Treated with Joint Preserving Fixation, Foot & Ankle Orthopaedics, 2(3), 2017
13. Sangho Chun, MD, Kyoung min Lee, MD,PhD, Moon Seok Park, Short-term outcome of Lisfranc injuries treated with single dorsal plate fixation, Foot & Ankle Orthopaedics, 2(3), 2017
14. Joseph Bellamy, Grant Cochran et al,Bridge Plate Fixation Results in Better Functional Outcomes Than TransarticularScrew Fixation for Low-Energy Lisfranc InjuriesFoot & Ankle Orthopaedics, 2(3) 2017
15. Raul De los Santos-Real, Fernando Canillas, Jesus Varas-Navas Lisfranc Joint Ligament Complex Reconstruction: A Promising Solution for Missed, Delayed, or Chronic Lisfranc Injury Without Arthritis, Journal of Foot and Ankle surgery (2017) 1-7
16. Takaaki Hirano, MD, Akiyama Yui, MD, Hiroyuki Mitsui et al Middle-term Clinical Evaluations of Lisfranc Ligament Anatomical Reconstruction Surgery, Foot & Ankle Orthopaedics, 2(3), 2017
17. Wataru Miyamoto, Masato Takao, Ken Innami (2016) Ligament reconstruction with single bone tunnel technique for chronic symptomatic subtle injury of the Lisfranc joint in athletes, Arch Orthop Trauma Surg DOI 10.1007/s00402-015-2250-6
18. Christopher Kreulen, MD, Behrad Golshani, MD, Arian M. Nikpour (2016) Radiographic Outcomes of Lisfranc Injuries Treated with a Suture Button Device, Foot & Ankle Orthopaedics, 1(1)
19. Shiu-Bii Lien, Hsain-Chung Shen, Leou-Chyr Lin, Combined Innovative Portal Arthroscopy and Fluoroscopy-Assisted Reduction and Fixation in Subtle Injury of the Lisfranc Joint Complex: Analysis of 10 Cases, The journal of foot and ankle surgery (2016) 1-6.

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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