New Flexible Fixation for Subtle Lisfranc Injury

Lisfranc ligament injuries are not so common and often overlooked. If missed, they can cause long-term disability and pain. The treatment of these injuries are still controversial and very little is known about which types of injury can be treated without surgery. Successful surgical management of these injuries is predicated on anatomic reduction and stable fixation. Open reduction and internal fixation remains the standard treatment, although ligament reconstruction has emerged as a viable option for certain types of tarsometatarsal joint injuries. This paper describes the authors' approach to treat Lisfranc's pure ligament injury. It presents a particular view of the problems resulting from the diagnosis and a specific type of ligament reconstruction.