Lisfranc Injuries: Causes, Treatments, and Rehabilitation

Understanding Lisfranc Injuries

A Lisfranc injury occurs when there is damage to the ligaments and/or bones in the midfoot region, specifically involving the Lisfranc joint complex. This complex comprises a series of ligaments and bones that connect the midfoot to the forefoot. Lisfranc injuries can range from mild ligament sprains to severe fractures and dislocations, often resulting from trauma such as a fall, twist, or direct impact to the foot.

Diagnostic Process and In-Office Imaging

Prompt and accurate diagnosis is crucial for effective management of Lisfranc injuries. At Acacia Foot and Ankle Surgeons, we utilize a combination of clinical evaluation, physical examination, and imaging studies to assess the extent of the injury. In-office imaging techniques such as X-rays and sometimes advanced imaging like MRI scans are employed to visualize the bones and soft tissues, aiding in precise diagnosis and treatment planning.

Treatment Approaches

The treatment approach for Lisfranc injuries depends on the severity of the injury and the individual patient's needs. In mild cases, conservative treatments such as rest, immobilization with a cast or boot, and physical therapy may be sufficient to promote healing and restore function. However, more severe injuries, including fractures and dislocations, may require surgical intervention to realign and stabilize the affected bones and ligaments.

Surgical Options

When surgical intervention is necessary, our team at Acacia Foot and Ankle Surgeons offers a variety of surgical techniques tailored to each patient's unique condition. Common surgical procedures for Lisfranc injuries include:

1. Open Reduction Internal Fixation (ORIF): This procedure involves surgically realigning the displaced bones and securing them in place with screws, plates, or other fixation devices.

2. Ligament Reconstruction: In cases where ligament damage is significant, ligament reconstruction may be performed to repair or replace the damaged ligaments using grafts or synthetic materials.

3. Fusion Surgery: In severe cases of joint damage or instability, fusion surgery may be recommended to fuse the bones together permanently, stabilizing the midfoot and alleviating pain.

Rehabilitation and Follow-Up Care

Rehabilitation plays a crucial role in the recovery process following a Lisfranc injury. Our team works closely with patients to develop individualized rehabilitation plans focused on restoring strength, flexibility, and mobility to the affected foot and ankle. Physical therapy, exercises, and gradual return to weight-bearing activities are essential components of the rehabilitation process.

Conclusion

Lisfranc injuries can be debilitating if not promptly diagnosed and treated. At Acacia Foot and Ankle Surgeons, Dr. Kaveh Panahi and our team are dedicated to providing comprehensive care for patients with Lisfranc injuries, utilizing advanced diagnostic techniques, personalized treatment plans, and surgical expertise to achieve optimal outcomes. If you or a loved one is experiencing foot pain or instability, don't hesitate to contact us for expert evaluation and care. We're here to help you get back on your feet and resume your active lifestyle.

Schedule Your Appointment Today!

Don't let foot pain hold you back. Contact Acacia Foot and Ankle Surgeons at 623.439.2200 or use our online portal to schedule your appointment online. Take the first step towards pain-free walking with our expert team!