Open AccessOperative outcomes of Lisfranc’s fracture dislocation
Author(s) -
Aditya K Medhavi,
E Venkateshulu,
M Tamil Selvan
Publication year - 2022
Publication title -
indian journal of orthopaedics surgery
Language(s) - English
Resource type - Journals
eISSN - 2395-1362
pISSN - 2395-1354
DOI - 10.18231/j.ijos.2022.005
Subject(s) - medicine , surgery , ankle , ligamentous laxity , inclusion and exclusion criteria , malunion , deformity , reduction (mathematics) , orthopedic surgery , kirschner wire , calcaneal fracture , prospective cohort study , foot and ankle surgery , joint dislocation , nonunion , calcaneus , prosthesis , alternative medicine , geometry , mathematics , pathology
Lisfranc joint injury is uncommon and can fail to notice at the initial assessment and treatment. Once ignored, late reduction is difficult and requires extensive dissection. Lisfranc joint injuries are known to result in unctional loss and chronic pain due to residual ligamentous instability, deformity, and/or arthritis; osteoporosis may also occur due to antalgic gait without weight bearing. This recognition is important, as most of the injuries are either misdiagnosed or overlooked, such as in patients suffering from polytraumatic injuries, possibly becoming a permanent source of pain after the major fractures have healed. A prospective study to be conducted at the Department of Orthopaedic Surgery, Vijayanagar Institute of Medical Sciences, Ballari from 2018 to 2020. This study consists of 30 cases of Lisfranc’s Fracture Dislocation treated operatively by Cannulated Cancellous Screws and K wires (Kirschner Wires). The cases were selected according to inclusion and exclusion criteria. The functional outcome was evaluated using AOFAS score. In our study, we achieved Excellent in 10% of the cases. Good outcome in 73.33% of cases, Fair outcome in 13.3% of the cases and no patient had poor outcome in our study. Average AOFAS (American Orthopaedic Foot and Ankle Score) being 76.5. It can be concluded from the present study that operative management with CC (Cannulated Cancellous Screws) Screws and K Wires is an effective means of treatment based on biomechanical principle with good functional outcome and minimum complication.