title: An old mismanaged Lisfranc injury treated by gradual deformity correction followed by the second-stage internal fixation.
abstract: The Lisfranc fracture-dislocation of the foot is uncommon and diagnosis is often missed. The Lisfranc joint involves the articulation between medial cuneiform and base of the second metatarsal and is considered a keystone to structural integrity to the midfoot. The articulation has a stabilization effect on longitudinal and transverse arches of the foot. A neglected or untreated injury to the Lisfranc joint can lead to secondary arthritis and significant morbidity and disability. We present a case of a neglected Lisfranc fracture-dislocation in a 28-year-old female patient who presented 3 months after injury. A staged treatment of distraction with an Ilizarov ring fixator followed in the second stage by the removal of ring fixator and internal fixation with K wires was performed. There was complete relief of pain and a good functional outcome at 3 months after treatment.
authors.affiliation: Department of Orthopaedics, Bone and Joint Hospital, Barzulla, GMC, Srinagar, Srinagar, Jammu and Kashmir, 190005, India. drmehraj8916@gmail.com.
authors.forename: Mehraj D
authors.initials: MD
authors.lastname: Tantray
authors.affiliation: Department of Orthopaedics, Bone and Joint Hospital, Barzulla, GMC, Srinagar, Srinagar, Jammu and Kashmir, 190005, India.
authors.forename: Khurshid
authors.initials: K
authors.lastname: Kangoo
authors.affiliation: Department of Orthopaedics, Bone and Joint Hospital, Barzulla, GMC, Srinagar, Srinagar, Jammu and Kashmir, 190005, India.
authors.forename: Asif
authors.initials: A
authors.lastname: Nazir
authors.affiliation: Department of Orthopaedics, Bone and Joint Hospital, Barzulla, GMC, Srinagar, Srinagar, Jammu and Kashmir, 190005, India.
authors.forename: Muzamil
authors.initials: M
authors.lastname: Baba
authors.affiliation: Department of Orthopaedics, Bone and Joint Hospital, Barzulla, GMC, Srinagar, Srinagar, Jammu and Kashmir, 190005, India.
authors.forename: Raja
authors.initials: R
authors.lastname: Rameez
authors.affiliation: Department of Orthopaedics, Bone and Joint Hospital, Barzulla, GMC, Srinagar, Srinagar, Jammu and Kashmir, 190005, India.
authors.forename: Syed
authors.initials: S
authors.lastname: Tabish
authors.affiliation: Department of Orthopaedics, Bone and Joint Hospital, Barzulla, GMC, Srinagar, Srinagar, Jammu and Kashmir, 190005, India.
authors.forename: Syed
authors.initials: S
authors.lastname: Shahnawaz
keywords: Ilizarov; Late diagnosis; Lisfranc injury