ORIGINAL ARTICLES   

Chirurgia del Piede 2011 April;35(1):1-9

Copyright © 2011 EDIZIONI MINERVA MEDICA

language: Italian

Fractures and dislocations of the Lisfranc joint: diagnosis, treatment and review series at Aosta Regional Hospital

Basile G. ¹, Meluccio A. ¹, Geminiani A. ¹, Cardis C. ¹, Marino P. ¹, Pagano R. ¹, Muraro E. ²

¹ S.C. Ortopedia e Traumatologia, Ospedale Regionale “U. Parini” di Aosta, Aosta, Italia 2 S.C. Radiologia, Ospedale Regionale “U. Parini di Aosta, Aosta, Italia

Aim and methods. Lisfranc joint lesions are often caused by high energy impact and tarso-metatarsal dislocations are often unknown. The most important radiological aspect to evalue at x-ray studies is the continuity of the II metatarsal bone with the profile of the II cuneiformis bone. T.C. study confirms the diagnosis. The reconstruction of anatomy and articoular stability is important for the functional outcome which is often complicated by deformity, lost of movement and pain. The gold standard is the open reduction and internal fixation with K-wires or screws trought a single trasversal or double longitudinal dorsal access.
Results and conclusion. According to these criteria, we have obtained good or optimal results in 80% of cases at 7 year-follow-up.