Functional Outcome of Lisfranc Injury Managed With Arthrodesis

Abstract

Purpose- Though injuries around foot and ankle joint are seen commonly in orthopaedic outdoors and emergency rooms, but tarso-metatarsal joint injury or lisfranc injury merely accounts for 0.2% of the fractures. It is commonly seen that these injuries are missed on initial presentation and may lead to interference with daily routine activities which occurs as a result of pain, deformity. In present study can arthrodesis obviate the need for revision surgery and to see the difference in functional outcome. Method– We conducted a prospective study from 1st January 2017 to 30th June 2021 including ten patients (7 males and 3 males) with Lisfranc fractures. In our study, arthrodesis was performed in all cases. At final follow-up functional outcome was evaluated using “AOFAS- Midfoot score”, “VAS score” and radiological assessment. Results– All ten patients had good functional outcome at final follow-up and found no difficulty in routine activities. Routine clinical and radiological assessment were also done at final follow-up. Conclusion– Closed Lisfranc injuries treated with arthrodesis has good functional outcome in terms of function if managed properly.