Sources: The search was made using MEDLINE and the query: Lisfranc fracture- dislocation. The inclusion criteria were: reviews or case series, publishing after 2004, except for previous originals.

 

Results: 36 articles and one book were included. This paper reviews the anatomy of the Lisfranc joint, the epidemiology, mechanisms, classification, means of diagnosis, treatment techniques and lesion prognosis.

 

Conclusions: The Lisfranc fracture is usually a medical emergency, and is frequently miss-diagnosed (20% of the cases). In addition to the typical clinical presentation, the diagnosis is made through simple radiographs of the foot (anterior-posterior, oblique and lateral projections). Treatment should be initiated as early as possible and the best technique is an open-reduction with internal fixation with cortical screws. The Lisfranc screw is the cornerstone of this technique (oriented obliquely from the medial cuneiform to the base of the second metatarsal). It is also important to reduce the second tarsometatarsal joint, which gives the joint its stability. It is demonstrated that the best outcome is obtained when an anatomical reduction is achieved.

 

 

Keywords: Lisfranc, fracture, tarsometatarsal, dislocation, open-reduction