J Korean Foot Ankle Soc.  2004 Dec;8(2):182-190.

Treatment of Fracture and Dislocation of Lisfranc joint with Limited Open Reduction, Pin Fixation and Ilizarov External Fixation

• Ahn GY
• Yoo YS
• Yun HH
• Yun KP
• Nam IH

Abstract

PURPOSE: To evaluate the clinical feature and the results of the treatment of Lisfranc joint fracture/dislocation with limited open reduction, pin fixation and Ilizarov external fixation.
MATERIALS AND METHODS
From June 2001 to May 2003, six patients with Lisfranc fracture/dislocation were treated. The average periods of follow-up was 23 months. After limited open reduction on the second tarso-metatarsal joint, we performed pin fixation of the above joint. On the other Lisfranc joint fracture/dislocation, closed reduction and the application of Ilizarov external fixator was done. This rigid system produced the early partial weight bearing and joint motion of the injured foot and ankle joint. The parameters used were radiographic evaluation, patient's clinical assesment and the AOFAS midfoot score.
RESULTS
We used the Myerson's criterier to evaluate the radiographic result. All cases could be achieved more than nearly anatomical reduction. Three cases of excellent and 3 cases of good result could be obtained in the evaluation of the patient's clinical assesment. The average AOFAS midfoot score was 87.2 (76~95) points.
CONCLUSION
The treatment using Ilizarov external fixation on Lisfranc joint fracture/dislocation can be another useful method.

Keyword

Lisfanc fracture/dislocation; Limited open reduction; Ilizarov external fixator

MeSH Terms

Ankle Joint
Dislocations*
Equidae
External Fixators
Follow-Up Studies
Foot
Humans
Joints*
Weight-Bearing