Technique Tip.
Lisfranc injury fixation or arthrodesis typically involves the reduction and fixation of several tarsometatarsal joints with either screws or a plate and screw constructs. A successful fixation or arthrodesis of the Lisfranc joint requires proper screw placement from the medial cuneiform to the base of the second metatarsal. This is typically done free-hand; however, we describe use of an anterior cruciate ligament guide to help maintain reduction and assist with drill trajectory for more accurate screw or suture button construct placement.


METHODS
Level V.
Department of Orthopaedic Surgery, Rhode Island Hospital/Brown University (GRW, JAG).|Warren Alpert Medical School of Brown University, Providence, Rhode Island (SM).
Gregory R
GR
Waryasz
Department of Orthopaedic Surgery, Rhode Island Hospital/Brown University (GRW, JAG).|Warren Alpert Medical School of Brown University, Providence, Rhode Island (SM).
Stephen
S
Marcaccio
Department of Orthopaedic Surgery, Rhode Island Hospital/Brown University (GRW, JAG).|Warren Alpert Medical School of Brown University, Providence, Rhode Island (SM).
Joseph A
JA
Gil
D001174:Arthrodesis / Q000295:instrumentation* / Q000379:methods; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing / Q000502:physiology*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging* / Q000293:injuries / Q000601:surgery*; D018570:Risk Assessment; D013536:Suture Techniques; D016896:Treatment Outcome
Lisfranc; fixation; fracture; tarsometatarsal