Functional Prognosis of Lisfranc Joint Fracture-Dislocation

• Published in: Orthopedics & Traumatology Vol. 61; no. 4; pp. 779 - 784
• Main Authors: Utsunomiya, Takeshi, Inoue, Sanshiro, Yokota, Kazuya, Takano, Yugo, Miyazaki, Kosei, Kikuchi, Naoshi, Akune, Hironobu
• Format: Journal Article
• Language: English; Japanese
• Published: West-Japanese Society of Orthopedics & Traumatology 2012
• Subjects: factors; Lisfranc joint fracture-dislocation; prognosis
• ISSN: 0037-1033; 1349-4333
• DOI: 10.5035/nishiseisai.61.779

We performed a retrospective study on 14 patients (10 men and 4 women) with the Lisfranc joint fracture-dislocation (LFD) treated at the Miyazaki Prefectural Miyazaki Hospital between 2006 and 2011. The mean age was 54.1 years, with the age range of 11 to 88 years. Ten patients suffured from high energy injuries. The average length of follow-up was 7.67 months (range; 3 to 17 months). Patient outcome was assessed with use of the Japanese Society for Surgery of the Foot standard rating system. We attempted to determine statistically what factors affected the clinical result of the LFD. Major determinants of good clinical results were younger age and anatomical reduction. The patients showed poor clinical results with leg injuries on the same side of the LFD. We concluded that stable anatomical reduction and relevant treatment of complications are important for LFDs.