Abstract
The current classifications of “Lisfranc injury” can be purely ligamentous (low-grade
midfoot sprains) or involve the osseous and articular structures (high-grade Lisfranc
fracture displacements). The first type is often difficult to detect. If these patients
are not properly treated, long-term disability can result. The rate of missed or delayed
diagnoses has ranged from 13% to 24%, primarily owing to the subtlety of the radiographic
findings. This is relatively more common in cases of subtle ligamentous injury (19%).
The aim of the present report was to provide a new technique for missed or delayed
Lisfranc injury without degenerative local signs. The Lisfranc ligament complex reconstruction
is performed with a gracilis tendon graft and is protected by temporary screw fixation.
We performed this technique in 3 patients. All 3 patients obtained good results, have
been able to resume their previous activities, and have stated they would undergo
this type of procedure again. The minimum follow-up length was 2 years.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: August 23, 2017
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
