ABSTRACT
Lisfranc injuries include a broad spectrum of injuries ranging from sprains and subluxations to grossly displaced fractures and fracture dislocations. Between 20% and 39% of Lisfranc injuries are missed due to distraction injuries, subtle presentations and lack of familiarity in recognising such an injury. Lisfranc injuries can result from high energy trauma with severe soft tissue compromise or, from less severe twisting injuries, resulting in sprains and subluxations. Between 20% and 39% of Lisfranc injuries are missed initially, especially in subtle injury. Non-surgical treatment for Lisfranc injuries is reserved for stable injuries that do not displace on dynamic weight-bearing. Surgical techniques of reduction and stabilisation include closed reduction and K-wire or screw stabilisation, open reduction and internal fixation with screws and/or plates and primary fusion. Traditionally, primary arthrodesis was a salvage procedure but more recently, it has been advocated for pure ligamentous injuries.
