Open reduction and internal fixation of displaced Lisfranc fracture dislocations using k-wires

Abstract

Introduction: Open reduction and internal fixation has been recommended as the treatment for most unstable injuries of the Lisfranc (tarsometatarsal) joint. It has been thought that purely ligamentous injuries have a poor outcome despite such surgical management.Aim and Objective: The aim of this study was to evaluate the outcome of early open reduction and internal fixation in the management of patients with Lisfranc injuries. Materials and Methods: The study was conducted in the Department of Orthopaedics, Govt. Bone and Joint, Hospital, Barzulla an associated Hospital of Govt. Medical College, Srinagar on Lisfranc joint. In this study a total of 18 cases of Lisfranc injuries were enrolled. Results: Full weight bearing was allowed at 10-12 weeks. Anatomical reduction was obtained in 17 (94.44%) patients. At the follow-up of 6 months the average calculated AOFAS Score was 83.28. In this study overall complications were seen in 4 (22.22%) patients. Good to fair results were seen in 17 (94.44%) patients. Conclusion: Open reduction and internal fixation with Kirschner wire offers excellent curative effect and can avoid postoperative complications and improve the patients' quality of life.