What Is Lisfranc (Midfoot) Fracture?
Lisfranc Fracture occur when bones in the midfoot are broken or ligaments supporting the midfoot are torn. This injury can range from simple to very complex depending on the affected joints and bones.
More Information About Lisfranc (Midfoot) Fracture
Causes
Lisfranc Fracture is considered a “low-energy” injury. It can, and does, happen with a simple twist and fall. Football and soccer players experience this injury often. It happens most commonly when someone trips over the top of a downward flexed foot. More severe injuries occur as a result of direct trauma. Injuries such as falls from large heights can result in fractures and dislocations.
Symptoms
The most common Lisfranc injury symptoms are:
- Swelling or pain in the top of the foot
- Bruising on the top or the bottom of the foot. Bruising on the bottom is a very suggestive symptom of a Lisfranc injury.
- Pain that increases with standing, walking, or pushing off with the affected foot.
Treatments
Treatment varies depending on how severe the injury is.
Non-Surgical:
Non-Surgical treatment maybe all that is required if there are no fractures, dislocations, or torn ligaments. Non-Surgical treatment includes wearing a non-weight bearing boot for six weeks. It is critical to refrain from putting weight on the injured foot during this time. You then progress to a weight bearing boot
Surgical:
Surgical treatment is recommended when there is a fracture in the joint or an abnormal positioning of the joint.
Internal Fixation: This procedure includes placing the bones are properly positioned then held in place with plates or screws. Plates or screws can potentially be removed at a later date. Time can vary 3-5 months.
Fusion: This procedure is recommended when there is severe damage that cannot be repaired. Fusion is when you fuse together two bones to form one. The joints in the midfoot have very little motion as they transfer stress to the front of the foot. As a result, many patients who need fusion surgery can still have a normal gait.
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