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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Study of Functional Outcome of Lisfranc Fracture Dislocation in Sir T Hospital Bhavnagar: A Prospective Observational Study

Chirag Kalathiya, Vishal Mehta, Vrushik Kothiya and Suresh Parmar
Page: 27-33 | Received 16 Aug 2023, Accepted 04 Sep 2023, Published online: 05 Sep 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.9.27.33

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Abstract

The term "Lisfranc injury" encompasses a wide range of injuries involving displacement of one or more metatarsals in relation to the tarsus. These injuries can vary from low‐energy sports‐related incidents to high‐energy trauma and may involve ligamentous damage or fractures of metatarsals, cuneiform, or cuboid bones. Early and accurate diagnosis is crucial for proper treatment and preventing long‐term complications. Timely anatomical reduction and stable internal fixation are key to achieving optimal outcomes. This study aimed to assess the functional outcomes of Lisfranc injuries treated with open reduction and internal fixation using trans articular screw fixation. The evaluation was conducted with a minimum follow‐up period of 6 months, utilizing the AOFAS midfoot score. This prospective observational study took place at the Department of Orthopaedics, Government Medical College, Bhavnagar, Gujarat, India from July 2021 to September 2022. A total of 30 consecutive patients aged 18‐60 who underwent surgical fixation for Lisfranc injuries using trans articular screw fixation were followed up. Functional outcomes were assessed by AOFAS midfoot score after the procedure. Most patients fell within the 18‐30 age group, with a mean age of 36.65. Of the participants, 18 (60%) were male and 12 (40%) were female. Road traffic accidents (RTA) accounted for 16 cases (53%) as the primary mode of injury, while 10 (33%) resulted from falls from height and 4 (14%) from sports injuries. The AOFAS midfoot score was excellent in 10 (33%) patient. Trans articular screw fixation for Lisfranc fractures resulted in excellent functional outcomes. The study supports the importance of achieving stable anatomical reduction in Lisfranc joint fracturedislocations for favorable long‐term results. Severe fracture dislocations often require open reduction with screws or K‐wires, with initial reduction quality impacting results.

How to cite this article:

Chirag Kalathiya, Vishal Mehta, Vrushik Kothiya and Suresh Parmar. Study of Functional Outcome of Lisfranc Fracture Dislocation in Sir T Hospital Bhavnagar: A Prospective Observational Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.9.27.33
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.9.27.33