Lisfranc fracture-dislocations: current treatment and new surgical approaches.
Anatomic reduction and restoration of the acute or chronic fracture-dislocation of the tarso-metatarsal joint is essential and needs to be addressed early in the patient's treatment with internal or external fixation. Long-term results following this injury can be associated with chronic instability, posttraumatic arthrosis, and poor functional outcomes. In this article, the authors review the current treatments of internal fixation and introduce new surgical techniques for addressing the acute or chronic tarso-metatarsal injuries with the application of circular multiplane external fixation devices.
Zgonis
Thomas
T
Podiatry Division, Department of Orthopaedics, University of Texas Health Science Center at San Antonio, 7773 Floyd Curl Drive, San Antonio, TX 78229, USA. zgonis@uthscsa.edu
Roukis
Thomas S
TS
Polyzois
Vasilios D
VD
D001174:Arthrodesis / Q000379:methods; D016267:External Fixators; D033023:Foot Joints / Q000293:injuries; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery*