The Lisfranc Injury: A Literature Review of Anatomy, Etiology, Evaluation, and Management.

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Abstract

[Indexed for MEDLINE] 7. Foot Ankle Spec. 2017 Apr;10(2):149-151. doi: 10.1177/1938640016677812. Epub 2016 Nov 10. Technique Tip. Waryasz GR(1)(2), Marcaccio S(1)(2), Gil JA(1)(2). Author information: (1)Department of Orthopaedic Surgery, Rhode Island Hospital/Brown University (GRW, JAG). (2)Warren Alpert Medical School of Brown University, Providence, Rhode Island (SM). Lisfranc injury fixation or arthrodesis typically involves the reduction and fixation of several tarsometatarsal joints with either screws or a plate and screw constructs. A successful fixation or arthrodesis of the Lisfranc joint requires proper screw placement from the medial cuneiform to the base of the second metatarsal. This is typically done free-hand; however, we describe use of an anterior cruciate ligament guide to help maintain reduction and assist with drill trajectory for more accurate screw or suture button construct placement. LEVELS OF EVIDENCE: Level V. DOI: 10.1177/1938640016677812