Closed Reduction and Percutaneous Fixation of Lisfranc Joint Fracture Dislocations

Objectives: To assess the results of closed reduction and percutaneous fixation of Lisfranc injuries Design: Retrospective Setting: Al-Razi Orthopedic Hospital, Kuwait Subjects: Seventeen patients with 19 Lisfranc joint fracture dislocations admitted and treated during the period from January 2006 to July 2008 Intervention: Closed reduction and percutaneous fixation or open reduction and internal fixation(ORIF) if closed reduction failed Main Outcome Measures: The success or otherwise of closed reduction and percutaneous fixation Results: Functional results were assessed using AOFAS Midfoot rating scale. In closed reduction group, excellent results were obtained in six cases (35%); results were good in nine cases (53%), fair one case (6%) and poor in one case (6%). In the ORIF group (two patients), the result was fair in one case and poor in the other. Conclusion: Closed reduction and percutaneous fixation is a possible alternative treatment modality of Lisfranc joint fracture dislocation, especially when soft tissue is in poor condition. This modality of treatment is not suitable in cases with complex Lisfranc fracture dislocation with entrapped tibialis anterior tendon or combined Chopart-Lisfranc fracture dislocation in which formal open reduction is indicated.