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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
97° CONGRESS OF THE PIEDMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (SPLLOT) - I (Alba, September 22-23, 2000)
Minerva Ortopedica e Traumatologica 2000 August;51(4):165-8
Treatment of Lisfranc fractures-luxations
Indemini E., Bertelli A., Marconetto M., Bosa G.
Lisfranc fracture-luxations are fairly uncommon but often responsible for major long-term problems because unrecognised or underestimated in people with multiple injuries. Open surgery is elective, but surgical reduction and stabilisation in a plaster cast or using K wires is only possible if there are no major bone injuries and no involvement of the soft tissues. External manipulation to ensure perfect reduction is also fundamental. When (as is most often the case), manual reduction is impossible, surgical reduction is essential in the presence of comminuted fractures, large joint fragments or concomitant fractures that cannot be reduced and Kirschen wires are the means most commonly employed. In cases involving severely comminuted fractures, some surgeons recommend primary arthrodesis.