title: Results of isolated Lisfranc injuries and the effect of compensation claims.
abstract: The results of treatment of Lisfranc injuries are often unsatisfactory. This retrospective study investigated 46 patients with isolated Lisfranc injuries at a minimum of two years after surgery. Thirteen patients had a poor outcome and had to change employment, or were unable to find work as a result of this injury. The presence of a compensation claim (p = 0.02) and a delay in diagnosis of more than six months were associated with a poor outcome (p = 0.01). There was no association between poor functional outcome and age, gender, mechanism of injury or previous occupation. This study may have medico-legal implications on reporting the prognosis for such injuries, and highlights the importance of prompt diagnosis and treatment.
authors.affiliation: Brisbane Foot and Ankle Centre, Arnold Janssen Centre, Brisbane Private Hospital, Brisbane, Queensland, Australia.
authors.forename: J D F
authors.initials: JD
authors.lastname: Calder
authors.forename: S L
authors.initials: SL
authors.lastname: Whitehouse
authors.forename: T S
authors.initials: TS
authors.lastname: Saxby
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000534:rehabilitation*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011859:Radiography; D012189:Retrospective Studies; D013640:Tarsal Joints / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D016896:Treatment Outcome; D016474:Weight-Bearing; D014942:Workers' Compensation