Abstract
Injuries of the Lisfranc joint are not common, and the results of treatment are often unsatisfactory.
We operated on seven patients (6 male and 1 female) with Lisfranc's fracture-dislocation from 1992 to 1996. Average age was 41 years, ranging from 27 to 56 years. Three cases were caused by traffic accident, three cases by compression, and one by a fall (almost all were high-energy injuries). Five cases were open fractures, two of which were classified as Type III under Gustilo's classification.
In all cases, open reduction and internal fixation were performed. The anatomical position of the forefoot after reduction improved in almost all cases, but in the cases with severe soft tissue injuries it was difficult to have a good function.
We concluded that in treatment of Lisfranc's fracture-dislocation we should consider not only the correct reduction of the fracture, but repair of soft tissue as well.
