title: Diabetic Lisfranc fracture-dislocations and Charcot neuroarthropathy.
abstract: 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.
authors: Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.
authors: Bradley A
authors: BA
authors: Levitt
authors: John J
authors: JJ
authors: Stapleton
authors: Thomas
authors: T
authors: Zgonis
mesh_terms: D001174:Arthrodesis; D001177:Arthropathy, Neurogenic / Q000150:complications* / Q000601:surgery; D048909:Diabetes Complications / Q000453:epidemiology / Q000601:surgery; D017719:Diabetic Foot / Q000150:complications / Q000601:surgery; D003929:Diabetic Neuropathies / Q000150:complications*; D016267:External Fixators; D005593:Fracture Fixation, Internal / Q000379:methods; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000601:surgery*; D007593:Joint Instability / Q000150:complications; D008682:Metatarsal Bones / Q000293:injuries*; D019651:Plastic Surgery Procedures / Q000379:methods; D013640:Tarsal Joints / Q000293:injuries* / Q000601:surgery; D016896:Treatment Outcome