Assessment of Outcomes of Closed Reduction and Percutaneous Fixation of Lisfranc's Injuries of The Foot

El-Ajnaf, Abduraouf Mosbah Ramadan; Mohammed, Mohammed Othman; Mohamed, Ashraf Abd Eldayem; Ali, Sami Ibrahim Sadek

doi:10.21608/ejhm.2022.242756

Assessment of Outcomes of Closed Reduction and Percutaneous Fixation of Lisfranc's Injuries of The Foot

Authors

Orthopedic Surgery Department, Faculty of Medicine, Zagazig University, Egypt

10.21608/ejhm.2022.242756

Abstract

Background: An early surgical intervention for metatarsal joint injuries (Lisfranc injury) is essential to prevent or treat any foot compartmental syndrome that is the most common outcomes.
Objective: to manage outcomes of percutaneous fixation with closed reduction in managing foot Lisfranc's injuries.
Patients and Methods: At Orthopedic Departments, Zagazig University Hospital, 18 patients with displaced Lisfranc injury were studied in prospective research. Closed reduction and percutaneous fixation of the Lisfranc injuries by k-wires or screw were done to all patients. All patients were periodically monitored clinically and radiographically for a week, then every 2, 4, 6, and 12 weeks after the index procedure.
Results: Favorable outcome were majority with 88.9% (16 cases) (11 patients excellent and 5 good) and unfavorable 11.1% (2 patients) (1 fair and 1 poor). The current study estimated the complication as overall with 4 cases and we found superficial infection in 22.2%, stiffness in only one case (5.6%) and delayed union in 1 case also no case of compartment syndrome of foot in our series.
Conclusion: Lisfranc injuries treated with k-wire or screw percutaneous reduction and fixation could be treated efficiently, quickly and simply surgically with predictable and dependable consequences without routine removal of hardware.