[Plantar Lisfranc dislocation fracture].
We report a 30-year-old patient suffering a plantar dislocation fracture after he dropped a heavy weight on his foot. The patient was treated immediately after diagnosis was secured by CT scan. Median approach and dermatofasciotomy of the foot were followed by anatomic reduction of the fractures and the Lisfranc dislocation and fixed by internal osteosynthesis. After 3 months the patient was able to ambulate pain free without walking aids. Plantar dislocation is a very rare direction of comminuted Lisfranc dislocation fractures. The outcome may be favorable with early reduction and stable internal fixation of the fractures. One always has to be aware of the major soft tissue trauma associated with complex Lisfranc dislocation fractures.
Kinner
B
B
Abteilung für Unfallchirurgie, Klinikum der Universität, Franz-Josef-Strauss-Allee 11, 93042 Regensburg. bernd.kinner@klinik.uni-regensburg.de
Neumeier
M
M
Roll
C
C
Ganslmeier
A
A
D000328:Adult; D001860:Bone Plates; D001863:Bone Screws; D003161:Compartment Syndromes / Q000000981:diagnostic imaging / Q000601:surgery; D000071938:Fasciotomy; D005528:Foot / Q000098:blood supply; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D013640:Tarsal Joints / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed