Lisfranc fracture dislocations of the foot

A 48 year-old male was involved in a high speed car accident and sustained a mid-foot injury. Radiographs revealed a Lisfranc fracture-dislocation.

He was referred to Dr. David L. Helfet, MD at the Orthopaedic Trauma Service of the Hospital for Special Surgery for definitive management. The Lisfranc fracture-dislocation was reduced and fixed through a minimally invasive technique with placement of multiple screws.

He most recently returned for routine follow-up at 3 months and radiographs illustrate a healing Lisfranc fracture dislocation and he has resumed all activities of daily living with significant improvement of pain and swelling.

  • Figure A

    Figure A

    Anteroposterior (AP), oblique and lateral radiographs revealing a Lisfranc fracture- dislocation

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  • Figure B

    Figure B

    CT scan images further dilineating the fracture pattern and pre-operative plan.

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  • Figure C

    Figure C

    Preoperative plan.

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  • Figure D

    Figure D

    AP, oblique and lateral radiographs at 3 months illustrating a healing Lisfranc fracture-dislocation.

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David L. Helfet, MD

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