title: Intramedullary transmetatarsal Kirschner wire fixation of Lisfranc fracture-dislocations.
abstract: Lisfranc joint injuries are frequently the result of high-energy accidents. The usual method of treatment is open reduction and internal fixation or closed reduction with percutaneous pinning. In cases in which soft tissue injury may compromise open reduction and internal fixation or traditional pinning techniques, transmetatarsal Kirschner wire fixation may be performed, allowing the placement of temporary hardware away from the site of soft tissue injury. The following report details this technique as it has been used in 3 patients.
authors.affiliation: Department of Orthopedics, University of Massachusetts Medical School, Worcester, Massachusetts, USA. brettowens@pol.net
authors.forename: Brett D
authors.initials: BD
authors.lastname: Owens
authors.forename: John J
authors.initials: JJ
authors.lastname: Wixted
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Cook
authors.forename: Anthony K
authors.initials: AK
authors.lastname: Teebagy
mesh_terms: D000328:Adult; D001864:Bone Wires; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery*; D007596:Joints / Q000293:injuries* / Q000601:surgery; D008297:Male; D008682:Metatarsal Bones / Q000293:injuries* / Q000601:surgery; D017695:Soft Tissue Injuries / Q000150:complications / Q000601:surgery; D013639:Tarsal Bones / Q000293:injuries* / Q000601:surgery