Lisfranc (Tarsometatarsal Injuries) Injury

Lisfranc Injuries are uncommon fractures / dislocations of the midfoot that typically occur during a fall or twisting motion. They can be misdiagnosed as a ‘sprain’. These injuries present with pain and swelling on the dorsum of the foot and typically there is bruising on the plantar aspect of the foot.

Non-operative treatment such as plaster immobilisation is not ideal and can lead to increased risk of post traumatic midfoot arthritis

Non-operative treatment such as plaster immobilisation is not ideal and can lead to increased risk of post traumatic midfoot arthritis

There are a number of surgical procedures used to treat a Lisfranc fracture.

Surgery allows the anatomy of the midfoot to be reconstructed.Typically these fractures are treated with open reduction internal fixation where screws/plates are inserted.

Post op, the patient will be placed in a cast and non-weight bearing. The cast remains on for a period of 6 weeks. The patient will then be placed into a CAMboot full weight bearing for a further 4-6 weeks  After this a solid supportive soled show with an insole will be worn.

 

 

Ankle Fractures

Ankle fractures are common. If they are misdiagnosed or left untreated, they can lead to long term pain and arthritis.

There are many different types of ankle fractures. Most require surgery to realign the bones and ankle joint. Open reduction and internal fixation (ORIF) is usually performed plates and screws that secures the bones in anatomical position during the healing process. Sometimes these need to be removed at a later date after the initial surgery.

Other traumatic injuries that almost always require surgical intervention include;

Tibial Plafond fractures

This fracture involves the ankle joint and can involve the joint surface. These must be treated surgically to help minimise the risk of deformity, pain and arthritis.

Calcaneal fractures

Calcaneal fractures are commonly sustained from high impact activity such as a fall from a height or sporting  injuries. The majority of these injuries require surgical intervention to reposition and realign the bone to aid in prevention of arthritis, pain and deformity. There are various different methods used to treat these fractures and the type of surgery is determined on an individual basis