Lisfranc Fractures

Patient Handout: Lisfranc Fractures

Understanding Lisfranc Fractures

A Lisfranc fracture is a break or dislocation in the midfoot region, specifically involving the Lisfranc joint complex, which connects the metatarsal bones to the tarsal bones. These fractures can result from traumatic injuries, such as falls, twists, or direct impacts.

Causes of Lisfranc Fractures

  • Trauma: High-energy injuries like falls, twists, or crush injuries.

  • Sports Injuries: Common in athletes, especially those involved in contact sports or activities with rapid direction changes.

Symptoms

  • Pain and Swelling: Around the midfoot region.

  • Difficulty Walking: Inability to bear weight on the affected foot.

  • Bruising: Discoloration around the midfoot area.

  • Visible Deformity: In severe cases, the foot may appear misaligned or flattened.

Diagnosis

  • Physical Examination: Evaluation of symptoms, swelling, and mobility.

  • Imaging Tests: X-rays, CT scans, or MRIs to visualize the fracture and assess its severity.

Treatment Options

  • Non-Surgical Treatment: Immobilization with a cast, boot, or splint, followed by physical therapy.

  • Surgical Treatment: Internal fixation with screws or plates, or fusion of the joint in severe cases.

Risks and Complications

  • Ankle Subtalar Arthritis: Lisfranc fractures can lead to arthritis in the ankle and subtalar joints due to damage to the joint surfaces.

  • Potential for Ankle Fusion or Replacement: Severe arthritis may require ankle fusion (arthrodesis) or ankle replacement (arthroplasty).

Bone Growth Stimulator

Ways to Improve Fracture Healing

  • Follow Medical Advice: Adhere to instructions regarding immobilization, weight-bearing, and medication.

  • Healthy Diet: Ensure adequate intake of nutrients crucial for bone health, such as calcium and vitamin D.

  • Avoid Smoking and Alcohol: These substances can delay bone healing and should be avoided.

  • Bone Growth Stimulator: Discuss with your doctor if a bone growth stimulator is appropriate for your fracture. These devices use electrical, ultrasound, or magnetic signals to stimulate bone growth and accelerate the healing process.

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Prevention Tips

  • Safety Precautions: Take precautions to prevent falls and injuries, especially during sports or physical activities.

  • Wear Protective Gear: Use appropriate footwear and protective equipment during sports or high-risk activities.

  • Maintain Bone Health: Engage in weight-bearing exercises and consume a balanced diet rich in calcium and vitamin D.

When to Seek Medical Attention

  • Persistent Pain: Pain that does not improve with rest or worsens over time.

  • Limited Mobility: Difficulty moving the ankle or bearing weight on the affected foot.

  • Visible Deformity: Any noticeable changes in the shape or alignment of the midfoot.

  • Numbness or Tingling: Sensations of numbness, tingling, or weakness in the foot or toes.

Notes

  • Follow your doctor's instructions carefully to facilitate a smooth recovery.

  • Attend all follow-up appointments to monitor the healing process and address any concerns promptly.

Remember

Lisfranc fractures are significant injuries that require proper treatment and care. By following medical advice and adopting preventive measures, you can promote healing and reduce the risk of complications.