The goal with Lisfranc fracture-dislocations is to regain joint congruity and reestablish midfoot stability to avoid debilitating posttraumatic arthrosis and chronic pain in the sensate patient. In the diabetic population, dense peripheral neuropathy and/or vascular disease are equally important and may alter the surgical approach to traumatic tarsometatarsal injuries. The initial diagnosis in the diabetic population may be delayed due to subtle radiographic findings and/or patient unawareness of trauma in the insensate foot. Failure to initiate treatment in the early stages of acute diabetic neuropathic Lisfranc injuries can predispose the patient to midfoot instability, potential ulceration, infection, and Charcot neuroarthropathy.
Published In/Presented At
Stapleton, J., & Zgonis, T. (2013). Concomitant osteomyelitis and avascular necrosis of the talus treated with talectomy and tibiocalcaneal arthrodesis. Clinics In Podiatric Medicine And Surgery, 30(2), 251-256. doi:10.1016/j.cpm.2013.01.001
Diseases | Medical Specialties | Medicine and Health Sciences | Orthopedics | Other Medical Specialties | Surgery
Department of Surgery