![]() Most patients will be in a non-weightbearing cast for 6 weeks, followed by 6 weeks in a walking boot. Recovery from Lisfranc surgery depends on the severity of the injury. Surgery may involve the placement of plates and screws that may need to be removed later, once the bones and ligaments have healed. If the bones or ligaments are injured in a way that causes them to shift out of their normal positions, Lisfranc surgery may be necessary to restore the anatomy of the foot. Your foot and ankle orthopaedic surgeon will follow up regularly with X-rays to make sure the bones maintain good position during the recovery. A cast or CAM boot may be needed for at least 6 weeks in order for the If the ligaments and the bones in the middle of the foot are not severely injured, and bones are not shifted out of their normal positions, non-surgical treatment can be successful. A CT scan can help determine the extent of the bone injury and is useful when planning surgery if needed. Sometimes X-rays will be taken while you are standing in order to better identify the shifting of bones in the foot. X-rays may show broken or shifted bones in the middle of the foot. Your foot and ankle orthopaedic surgeon will examine the middle part of your foot to identify the location of your pain and perform tests to check the DiagnosisĪ Lisfranc injury diagnosis is made based on what happened at the time of injury, your symptoms, and an examination of the foot and ankle that compares the injured foot to your uninjured foot. When the ligaments, joints, or bones in this area are injured, they may shift out of place, making the arch unstable. Specialized ligaments in the midfoot hold the bones in this area together like puzzle pieces to maintain the arch of the foot. High-energy injuries occur from direct trauma such as a car accident or a fall from a height. This can happen during athletic activities such as football but also can occur from a misstep or even missing a stair and Low-energy injuries can happen when the back of the foot twists or presses down with the ball of the foot planted on the ground. With a mild injury, the foot may appear normal and you may be able walk on it with only mild pain. ![]() ![]() With a severe injury, the foot may be distortedĪnd putting any weight on it may be very painful. Bruising is common, and a bruise on the bottom of the foot can be a clue that this injury has occurred. The common symptoms of a Lisfranc injury are swelling and pain on the top of the foot near the instep. Proper diagnosis from a foot and ankle orthopaedic surgeon is key. Sometimes the injury can be mistaken for a foot sprain when X-rays do not show any broken bones. There are a variety of causes for a Lisfranc injury such as a car accident, sports injury, or a simple slip and fall. Martin (1790-1847), who was the first physician to describe injuries to this ligament. The Lisfranc is a ligament of the foot that runs between two bones called the medial cuneiform and the second metatarsal. A Lisfranc injury involves the joints and/or the ligaments of the midfoot (middle of the foot).
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