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

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

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Figure B

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

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Figure C

Preoperative plan.

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Figure D

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

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Tags: David Helfet MD, Foot Fracture

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