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Indian Journal of Orthopaedics Surgery


Neglected Lisfranc’s Joint Injury: A Case Report and Literature Review


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Author Details: Ganesh Singh Dharmshaktu

Volume : 1

Issue : 3

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 183

Article End Page : 185


Abstract

The Lisfranc’s joint fracture dislocation involves the articulation between medial cuneiform and base of second metatarsal, which is considered as keystone to the mid foot integrity. The articulation has stabilization effect on longitudinal and transverse arches of the mid foot. Non operative or suboptimal treatment has grave complications and aftermath. Lisfranc’s joint includes tarsometatarsal complex and injury to the region is a rare occurrence. Neglected or undertreated injury to Lisfranc joint complex leads to secondary arthritis and significant morbidity and disability. This uncommon pattern of injury is often missed on initial or poorly done radiographs. We present a report of six weeks old neglected Lisfranc’s joint injury with surgical management and satisfactory functional outcome.


Key Words: Lisfranc Joint, Tarsometatarsal joint, Injury, Foot Injury, Management, Internal Fixation