The Role of Reduction and Internal Fixation of Lisfranc Fracture-dislocations: a Systematic Review of the Literature

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2010 Aug 5

PMID 20683593

Citations 34

Authors

Panagiotis Stavlas

Craig S Roberts

Fragiskos N Xypnitos

Peter V Giannoudis

Affiliations

Soon will be listed here.

Abstract

A systematic review of the literature was performed in order to evaluate the role of reduction and internal fixation in the management of Lisfranc joint fracture-dislocations. Articles were extracted from the Pubmed database and the retrieved reports were included in the study only if pre-specified eligibility criteria were fulfilled. Eleven articles were eligible for the final analysis, reporting data for the management of 257 patients. Injuries of the first three metatarsal rays were treated by closed reduction and internal fixation with screws in 16.3% of the patients, open reduction and internal fixation with screws in 66.5% and open reduction and internal fixation with Kirschner wires (K-wires) in 17.1% of the patients. The preferred method for the stabilisation of the fourth and fifth metatarsal rays was K-wires. Screw-related complications were common and were reported in 16.1% of the cases. The mean American Orthopaedic Foot and Ankle Society midfoot score was 78.1 points. Post-traumatic radiographic arthritis was reported in 49.6% of the patients, but only in 7.8% of them it was severe enough to warrant an arthrodesis. We conclude that open reduction and internal fixation of the first three metatarsal rays with screws is a reliable method for the management of Lisfranc injuries. This can be complemented by K-wires application in the fourth and fifth metatarsal rays if needed.

Citing Articles

Classification in 157 patients with Lisfranc injuries using three-dimensional fracture lines and heat map.

Zhang L, Jiang S, Wang R, Cheng X, Wu W, Wang G J Orthop Surg Res. 2025; 20(1):266.

PMID: 40069768 PMC: 11900351. DOI: 10.1186/s13018-025-05663-w.

A rare Lisfranc-type injury involving dorsal dislocation of the intermediate cuneiform and second metatarsal.

Gholipour M, Salimi M, Motamedi A, Abbasi F Radiol Case Rep. 2024; 20(1):529-534.

PMID: 39568498 PMC: 11577282. DOI: 10.1016/j.radcr.2024.10.083.

Suspensory Device Fixation of Lisfranc Injuries in a Southeast Asian Urban Population: Patient-Reported Functional Outcomes.

Tan Y, Low Y, Socklingam R, Chandrakumara S, Kon C Cureus. 2023; 15(10):e46629.

PMID: 37937016 PMC: 10626215. DOI: 10.7759/cureus.46629.

Various Flexible Fixation Techniques Using Suture Button for Ligamentous Lisfranc Injuries: A Review of Surgical Options.

Yi Y, Chaudhari S Medicina (Kaunas). 2023; 59(6).

PMID: 37374337 PMC: 10302150. DOI: 10.3390/medicina59061134.

Comparison of two surgical techniques for Lisfranc injuries; closed reduction and fixation versus primary partial arthrodesis.

Sonmez M, Erinc S, Cam N, Ozdemir M Ulus Travma Acil Cerrahi Derg. 2023; 29(3):389-394.

PMID: 36880622 PMC: 10225828. DOI: 10.14744/tjtes.2022.60869.

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