Lisfranc’s Fracture Dislocation

Lisfranc injuries represent approximately 0.2–0.8% of all fractures and affect one every 55,000 people in the United States. Time ago, injuries to the tarsometatarsal joint, commonly known as Lisfranc injuries, were previously easily overlooked in the initial evaluation; nowadays, more concern regarding the sequelae of these misdiagnosed minor injuries was raised. Incidence of midfoot sprains or subtle Lisfranc disruptions is thought to be higher. It is worth noting that up to 20% of these injuries are missed on the initial examination. With the advent of new diagnostic methods, the incidence of subtle injuries is increasing, especially in high-performance athletes. For this reason, the authors recommend doing weight-bearing and/or stress views whenever possible to help denote potential signs of instability on radiographic imaging. All lesions that show instability should be surgically treated. The most important factor to obtaining satisfactory functional and radiographic results is achieving optimal anatomic reduction, independently of the technique or type of osteosynthesis used.