The Lisfranc fracture-dislocation is a term for the most common changes in the foot, composed of dislocation backbone of the tarsometatarsal joints. The second metatarsal extends down in the row of small bones and acts as a stabilizing force. The bones are held in place by connective tissue (ligaments), which covers both across and down the foot. However, there is no connective tissue holding of the first metatarsal to the second metatarsal. A twisting fall can break or move (pieces), these bones in his place. Treatment options include operative or non-operative treatment. Medical treatment is reserved for injuries found to be anatomically stable.
For treatment, percutaneous screw + / – k-wire will be used for internal fixation of the fracture. Swedish position with a high thigh tourniquet is recommended. Sprains otherwise stable with a tarsal-metatarsal joint can be handled with restraint. Nonanatomic alignment requires open reduction and internal fixation. A corset walk can be prescribed when devices are removed. You may also have to wear a bow and support of hard-soled shoes until all symptoms have disappeared. In some cases, if arthritis develops in these joints, bones may have to be merged.Your orthopaedist will also recommend foot exercises to build strength.
Lisfranc Fracture Dislocation Treatment and Prevention Tips
1. Supine position with a high-thigh tourniquet is recommended.
2. Foot exercises to build strength and help restore full range of motion.
3. A walking brace may be prescribed when the fixation devices are removed.