The Role of Percutaneous Reduction and Fixation of Lisfranc Injuries.
To be able to perform percutaneous fixation of Lisfranc injuries, this article emphasizes that an anatomic reduction must be mandatory. When uncertainty remains as to whether closed reduction is anatomic, formal open reduction is recommended because accuracy of reduction is correlated with long-term outcome. Closed injuries with minimal displacement, bony avulsions, and skeletally immature individuals seem the most appropriate indications for percutaneous fixation. Not all injuries are ideal for this method of treatment, and this is an area that needs to be more clearly defined in the future.
Division of Orthopaedic Surgery, St Michael's Hospital, University of Toronto, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada. Electronic address: rupeshpuna@yahoo.com.
Rupesh A
RA
Puna
Counties-Manukau Health Orthopaedics, Middlemore Hospital, 100 Hospital Road, Otahuhu, Auckland 2104, New Zealand.
Matthew P W
MP
Tomlinson
D001174:Arthrodesis; D018409:Foot Injuries / Q000601:surgery*; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008682:Metatarsal Bones / Q000293:injuries / Q000601:surgery*; D013640:Tarsal Joints / Q000293:injuries / Q000601:surgery*
Lisfranc fracture/dislocation; Lisfranc injuries; Percutaneous fixation; Percutaneous fracture fixation; Role of percutaneous fixation