• Foot Ankle Surg · Sep 2014

    Case Reports

    Newly developed anatomical and functional ligament reconstruction for the Lisfranc joint fracture dislocations: a case report.

    • Takaaki Hirano, Hisateru Niki, and Moroe Beppu.
    • Department of Orthopaedic surgery, St. Marianna University school of Medicine, Japan. Electronic address: takaaki.hirano@gmail.com.
    • Foot Ankle Surg. 2014 Sep 1; 20 (3): 221-3.

    AbstractA 15-year-old male complained of pain in the left foot that occurred when changing direction while running and at presentation, he had difficulty in walking due to pain and swelling. Plain X-ray of the foot revealed a Myerson Type B2 Lisfranc fracture dislocation, and 3-D computed tomography (CT) revealed proximal fractures of the 2nd-4th metatarsals. The Lisfranc ligament was anatomically reconstructed using a graft of the gracilis tendon. During aftercare, partial weight bearing was permitted at 6 weeks postoperatively and full weight bearing at 8 weeks postoperatively. The patient resumed sporting activities 3 months postoperatively. A plain X-ray taken 12 months postoperatively showed favorable joint congruency, and the patient scored 100 points on the Japanese Society for Surgery of the Foot standard rating system midfoot scale. Our anatomical ligament reconstruction is a useful new method of anatomical reduction and maintenance, and it shortens the duration of aftercare.Copyright © 2014 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

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