Title

Technique tip: percutaneous fixation of partial incongruous Lisfranc injuries in athletes.

Publication/Presentation Date

6-1-2013

Abstract

Open reduction with screw fixation is considered the standard surgical approach for injuries of the Lisfranc complex in athletes. However, multiple incisions are required, which increase the risk for postoperative complications. We present a novel percutaneous reduction and solid screw fixation technique that may be a viable option to address partial incongruous injuries of the Lisfranc complex in athletes. At our institution, no intraoperative or postoperative complications have been encountered. Screw breakage did not occur. Reduction of the second metatarsal was considered anatomic across all patients. All patients have returned to their respective sport without limitation. The percutaneous approach appears to decrease complications while the targeting-reduction guide appears to precisely reduce the injury. Consequently, outcomes have been more consistent and predictable. The authors note that this percutaneous approach is specific to partial incongruous injuries of the Lisfranc complex. When presented with more extensive injuries, the authors advocate an open approach.

Volume

6

Issue

3

First Page

217

Last Page

221

ISSN

1938-7636

Disciplines

Medicine and Health Sciences

PubMedID

23631892

Department(s)

Department of Surgery

Document Type

Article

Share

COinS