Abstract
Midfoot injuries are the second most common athletic foot injury documented in the
published data. High-energy Lisfranc dislocations are commonly seen secondary to traumatic
etiologies and disrupt the strong midfoot ligaments supporting the arch. These injuries
require immediate surgical intervention to prevent serious complications such as compartment
syndrome and amputation. The present case series reports a new Lapidus plate system
used in 3 patients who underwent arthrodesis procedures for Lisfranc joint dislocation.
Three patients in their fourth to fifth decade of life presented with a traumatic
injury at the Lisfranc joint and subsequently underwent open reduction and internal
fixation using the plantar Lapidus Plate System (LPS; Arthrex, Naples, FL). The LPS
was placed in a predetermined safe zone, with measures taken to avoid the insertional
points of the tibialis anterior and peroneus longus tendons. Radiographs were obtained
for ≤6 months postoperatively and revealed consolidation across the fusion site, intact
hardware, and satisfactory alignment. On examination, the corrections were well maintained
and free of signs of infection. Clinical evaluation showed no indication of motion
within the tarsometatarsal joint and no tenderness to palpation surrounding the fusion
sites. All 3 patients successfully returned to their activities of daily living without
discomfort or pain. Modern surgical treatment of Lisfranc injuries most commonly includes
open reduction and internal fixation, accompanied by arthrodesis. The present case
series has demonstrated that the LPS provides relief, stability, and compression of
the joint in our small cohort of patients who experienced a traumatic injury to the
Lisfranc joint.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: April 11, 2018
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.
