Management of Lisfranc Injuries
<p>Lisfranc injuries comprise a heterogeneous spectrum of tarsometatarsal joint trauma, ranging from subtle ligamentous instability to high-energy fracture dislocations. Contemporary management has moved beyond a binary “fix versus fuse” debate toward patient- and injury-specific decisio...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Book Chapter |
| Language: | English |
| Published: |
IntechOpen
2026
|
| Subjects: | |
| Online Access: | https://www.intechopen.com/chapters/1246969 |
| Tags: |
No Tags, Be the first to tag this record!
|
| Summary: | <p>Lisfranc injuries comprise a heterogeneous spectrum of tarsometatarsal joint trauma, ranging from subtle ligamentous instability to high-energy fracture dislocations. Contemporary management has moved beyond a binary “fix versus fuse” debate toward patient- and injury-specific decision-making that integrates the mechanism of injury, instability pattern, cartilage and comminution extent, timing of presentation, and host factors such as the presence of diabetes mellitus, neuropathy, smoking, and work or sport activity demands. Advances in imaging, such as weight-bearing computed tomography, and in fixation constructs (transarticular screws, dorsal bridge plating, hybrid strategies, and flexible fixation), have expanded the treatment options. This chapter provides a modern, evidence-based evaluation of mechanisms, clinical presentation, imaging strategy, construct options, and outcomes based on robust trials, large cohort studies, and meta-analyses. The goal is to present a balanced framework that supports individualized treatment selection and transparent counseling regarding expected outcomes, return-to-activity, and complication expectations.</p> |
|---|---|
| ISBN: | 978-1-80632-150-6 |
| DOI: | 10.5772/intechopen.1015600 |